| Crossroad Health Center -taft | |
|
270 Southern Ave Cincinnati OH 45219-3023 | |
| (513) 707-5755 | |
| (513) 381-2256 |
| Full Name | Crossroad Health Center -taft |
|---|---|
| Speciality | Family Medicine |
| Location | 270 Southern Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | James J Berrens (CEO) |
| Authorized Official Contact | 5133812247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroad Health Center -taft 5 E Liberty St Cincinnati OH 45202-8202 Ph: (513) 707-5755 | Crossroad Health Center -taft 270 Southern Ave Cincinnati OH 45219-3023 Ph: (513) 707-5755 |
| NPI Number | 1811446834 |
|---|---|
| Provider Enumeration Date | 10/03/2016 |
| Last Update Date | 02/26/2024 |
| Medicare PECOS PAC ID | 7517966211 |
|---|---|
| Medicare Enrollment ID | O20170203001319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811446834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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