| Deaconess Healthcare Services Co | |
|
311 Straight St Cincinnati OH 45219-1018 | |
| (513) 557-3330 | |
| (513) 557-3347 |
| Full Name | Deaconess Healthcare Services Co |
|---|---|
| Speciality | Internal Medicine |
| Location | 311 Straight St, Cincinnati, Ohio |
| Authorized Official Name and Position | Kelly Bernens (BUSINESS MANAGER PHYSICIAN SERVICES) |
| Authorized Official Contact | 5135592891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Healthcare Services Co Po Box 632745 Cincinnati OH 45263-2745 Ph: (513) 557-3330 | Deaconess Healthcare Services Co 311 Straight St Cincinnati OH 45219-1018 Ph: (513) 557-3330 |
| NPI Number | 1194703173 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 05/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194703173 | NPI | - | NPPES |
| 65935637 | Medicaid | KY | |
| 0281172 | Medicaid | OH | |
| 200363350B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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