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10450 New Haven Rd Harrison OH 45030-2780 | |
(513) 367-5888 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 10450 New Haven Rd, Harrison, Ohio |
Authorized Official Name and Position | Jamie Berrens (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5137075755 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5 E Liberty St Cincinnati OH 45202-8202 Ph: (513) 381-2247 | 10450 New Haven Rd Harrison OH 45030-2780 Ph: (513) 367-5888 |
NPI Number | 1639574148 |
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Provider Enumeration Date | 10/27/2014 |
Last Update Date | 08/24/2023 |
Identifier | Type | State | Issuer |
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1639574148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mercy Health Physicians Cincinnati, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10450 New Haven Rd, Harrison, OH 45030 Phone: 513-367-2780 Fax: 513-981-4346 |