| |
1000 Broadway St Cincinnati OH 45202-1364 | |
(623) 277-2335 | |
(623) 277-1091 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 1000 Broadway St, Cincinnati, Ohio |
Authorized Official Name and Position | Stacey Popko (MEDICAL SENIOR DIRECTOR) |
Authorized Official Contact | 4127474128 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
25500 N Norterra Dr Phoenix AZ 85085-8200 Ph: (877) 733-1710 | 1000 Broadway St Cincinnati OH 45202-1364 Ph: (623) 277-2335 |
NPI Number | 1619393790 |
---|---|
Provider Enumeration Date | 03/12/2014 |
Last Update Date | 03/12/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619393790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Oki Kidney Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4760 E Galbraith Rd, Ste 217, Cincinnati, OH 45236 Phone: 513-842-2000 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 |