| |
2139 Auburn Ave Cincinnati OH 45219-2906 | |
(513) 585-2960 | |
(513) 585-4094 |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 2139 Auburn Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Diane Dillion (OFFICE MANAGER) |
Authorized Official Contact | 5135852960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2139 Auburn Ave Cincinnati OH 45219-2906 Ph: (513) 585-2960 | 2139 Auburn Ave Cincinnati OH 45219-2906 Ph: (513) 585-2960 |
NPI Number | 1114997236 |
---|---|
Provider Enumeration Date | 01/23/2006 |
Last Update Date | 08/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114997236 | NPI | - | NPPES |
0924889 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (Ohio) | 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 |