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4027 Eastern Ave Cincinnati OH 45226-1747 | |
(513) 321-2202 | |
(513) 979-2024 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 4027 Eastern Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Marcia A Irving-ray (CEO) |
Authorized Official Contact | 5132214949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2415 Auburn Ave Cincinnati OH 45219-2701 Ph: (513) 221-4949 | 4027 Eastern Ave Cincinnati OH 45226-1747 Ph: (513) 321-2202 |
NPI Number | 1770698797 |
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Provider Enumeration Date | 08/20/2006 |
Last Update Date | 04/04/2011 |
Identifier | Type | State | Issuer |
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1770698797 | NPI | - | NPPES |
2363697 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (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 |