| Equitas Health Inc | |
|
2805 Gilbert Ave Cincinnati OH 45206-1210 | |
| (513) 815-4475 | |
| Not Available |
| Full Name | Equitas Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2805 Gilbert Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Tonya Graham (CREDENTIALING AND COMPLIANCE SPECIA) |
| Authorized Official Contact | 6149875539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equitas Health Inc 7575 Huntington Park Dr Ste 200 Columbus OH 43235-5618 Ph: (614) 987-5539 | Equitas Health Inc 2805 Gilbert Ave Cincinnati OH 45206-1210 Ph: (513) 815-4475 |
| NPI Number | 1437799830 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 01/23/2020 |
| Medicare PECOS PAC ID | 2769638154 |
|---|---|
| Medicare Enrollment ID | O20200506001956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437799830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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