| The Good Samaritan Hospital Of Cincinnati, Ohio | |
|
375 Dixmyth Ave Cincinnati OH 45220-2475 | |
| (513) 569-6302 | |
| (513) 569-6513 |
| Full Name | The Good Samaritan Hospital Of Cincinnati, Ohio |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 375 Dixmyth Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Connie S Aylward (MANAGER, PATIENTACCOUNTS) |
| Authorized Official Contact | 5135696302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Good Samaritan Hospital Of Cincinnati, Ohio 619 Oak St Cincinnati OH 45206-1613 Ph: (516) 569-6302 | The Good Samaritan Hospital Of Cincinnati, Ohio 375 Dixmyth Ave Cincinnati OH 45220-2475 Ph: (513) 569-6302 |
| NPI Number | 1245209576 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 1759398720 |
|---|---|
| Medicare Enrollment ID | O20071127000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245209576 | NPI | - | NPPES |
| 3293485 | Medicaid | OH | |
| 01540434 | Medicaid | KY | |
| 6460320 | Other | OH | UNITED HEALTH CARE |
| 6460320 | Other | OH | AETNA |
| 90443 | Other | OH | AMEIGROUP |
| 000000002831 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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