| Faculty Plan Of Good Samaritan Hospital | |
|
375 Dixmyth Ave 3rd Floor Cincinnati OH 45220-2475 | |
| (513) 862-2563 | |
| (513) 862-8862 |
| Full Name | Faculty Plan Of Good Samaritan Hospital |
|---|---|
| Speciality | Internal Medicine |
| Location | 375 Dixmyth Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Donna S Nienaber (CORPORATE SECRETARY BOARD MEMBER) |
| Authorized Official Contact | 5135696386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faculty Plan Of Good Samaritan Hospital Po Box 631395 Cincinnati OH 45263-1395 Ph: (513) 569-5027 | Faculty Plan Of Good Samaritan Hospital 375 Dixmyth Ave 3rd Floor Cincinnati OH 45220-2475 Ph: (513) 862-2563 |
| NPI Number | 1912001603 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912001603 | NPI | - | NPPES |
| 200372050 | Medicaid | IN | |
| 0998783 | Medicaid | OH | |
| 65916090 | Medicaid | KY |
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