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2170 Anderson Ferry Rd Cincinnati OH 45238-3328 | |
(513) 381-2247 | |
(513) 381-2256 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2170 Anderson Ferry Rd, Cincinnati, Ohio |
Authorized Official Name and Position | James Berrens (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5133812247 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5 E Liberty St Cincinnati OH 45202-8202 Ph: (513) 381-2247 | 2170 Anderson Ferry Rd Cincinnati OH 45238-3328 Ph: (513) 381-2247 |
NPI Number | 1396079109 |
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Provider Enumeration Date | 09/25/2009 |
Last Update Date | 02/26/2024 |
Medicare PECOS PAC ID | 7517966211 |
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Medicare Enrollment ID | O20130813000505 |
Identifier | Type | State | Issuer |
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1396079109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 |