| Elmwood Place Elementary | |
|
400 Maple St Cincinnati OH 45216-2128 | |
| (513) 242-1033 | |
| (513) 242-1539 |
| Full Name | Elmwood Place Elementary |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Maple St, Cincinnati, Ohio |
| Authorized Official Name and Position | Miriam Crenshaw (CEO) |
| Authorized Official Contact | 5132421033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmwood Place Elementary 5275 Winneste Ave Cincinnati OH 45232-1130 Ph: (513) 242-1033 | Elmwood Place Elementary 400 Maple St Cincinnati OH 45216-2128 Ph: (513) 242-1033 |
| NPI Number | 1003085549 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 6507881406 |
|---|---|
| Medicare Enrollment ID | O20080320000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003085549 | NPI | - | NPPES |
| 2856968 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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