| Cincinnati Health Network, Inc | |
|
1615 Republic St Cincinnati OH 45202-6464 | |
| (513) 386-7899 | |
| Not Available |
| Full Name | Cincinnati Health Network, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1615 Republic St, Cincinnati, Ohio |
| Authorized Official Name and Position | Austin Maddox (CFO) |
| Authorized Official Contact | 5139610600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cincinnati Health Network, Inc 40 E Mcmicken Ave Ste 3 Cincinnati OH 45202-6626 Ph: (513) 961-0600 | Cincinnati Health Network, Inc 1615 Republic St Cincinnati OH 45202-6464 Ph: (513) 386-7899 |
| NPI Number | 1518464635 |
|---|---|
| Provider Enumeration Date | 04/06/2018 |
| Last Update Date | 08/13/2024 |
| Medicare PECOS PAC ID | 2062678758 |
|---|---|
| Medicare Enrollment ID | O20180731002351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518464635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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