| Evanston Academy School Based Health Center | |
|
1935 Fairfax Ave Cincinnati OH 45207-1905 | |
| (513) 363-2700 | |
| Not Available |
| Full Name | Evanston Academy School Based Health Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1935 Fairfax Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Marcia Irving-ray (PRESIDENT/CEO) |
| Authorized Official Contact | 5132214949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evanston Academy School Based Health Center 2415 Auburn Ave Cincinnati OH 45219-2701 Ph: (513) 221-4949 | Evanston Academy School Based Health Center 1935 Fairfax Ave Cincinnati OH 45207-1905 Ph: (513) 363-2700 |
| NPI Number | 1396092110 |
|---|---|
| Provider Enumeration Date | 08/10/2012 |
| Last Update Date | 08/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396092110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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