Gcbhs | |
1501 Madison Rd 3rd Floor Walnut Hills OH 45206-1706 | |
(513) 354-5238 | |
(513) 354-5237 |
Full Name | Gcbhs |
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Speciality | Clinic/Center |
Location | 1501 Madison Rd, Walnut Hills, Ohio |
Authorized Official Name and Position | Dolores J Lindsay (CEO) |
Authorized Official Contact | 5134833080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gcbhs 1501 Madison Rd 3rd Floor Walnut Hills OH 45206-1706 Ph: (513) 354-5238 | Gcbhs 1501 Madison Rd 3rd Floor Walnut Hills OH 45206-1706 Ph: (513) 354-5238 |
NPI Number | 1912189721 |
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Provider Enumeration Date | 12/04/2007 |
Last Update Date | 10/12/2016 |
Medicare PECOS PAC ID | 8628988318 |
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Medicare Enrollment ID | O20080409000487 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912189721 | NPI | - | NPPES |
2800062 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |