| Bond Hills Academy | |
|
1510 California Ave Cincinnati OH 45237-5621 | |
| (513) 242-1033 | |
| (513) 242-1539 |
| Full Name | Bond Hills Academy |
|---|---|
| Speciality | Clinic/Center |
| Location | 1510 California Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Miriam Crenshaw (CEO) |
| Authorized Official Contact | 5132421033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bond Hills Academy 5275 Winneste Ave Cincinnati OH 45232-1130 Ph: (513) 242-1033 | Bond Hills Academy 1510 California Ave Cincinnati OH 45237-5621 Ph: (513) 242-1033 |
| NPI Number | 1649421223 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 6507881406 |
|---|---|
| Medicare Enrollment ID | O20091208000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649421223 | NPI | - | NPPES |
| 3016542 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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