| Rsat Fac College Hill | |
|
5642 Hamilton Ave Cincinnati OH 45224-3114 | |
| (513) 636-4225 | |
| (513) 636-2511 |
| Full Name | Rsat Fac College Hill |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5642 Hamilton Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Jodianne Broomall (SR DIRECTOR BILLING & CODING SR) |
| Authorized Official Contact | 5136365047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rsat Fac College Hill 3333 Burnet Avenue Mail Location 5021 Cincinnati OH 45229-3039 Ph: (513) 636-4225 | Rsat Fac College Hill 5642 Hamilton Ave Cincinnati OH 45224-3114 Ph: (513) 636-4225 |
| NPI Number | 1902168800 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 08/05/2020 |
| Certification Date | 08/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902168800 | NPI | - | NPPES |
| 2871576 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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