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10400 New Haven Rd Harrison OH 45030-1657 | |
| (513) 367-5888 | |
| (513) 367-1015 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10400 New Haven Rd, Harrison, Ohio |
| Authorized Official Name and Position | Marcia A Irving-ray (CEO) |
| Authorized Official Contact | 5132214949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2415 Auburn Ave Cincinnati OH 45219-2701 Ph: (513) 221-4949 | 10400 New Haven Rd Harrison OH 45030-1657 Ph: (513) 367-5888 |
| NPI Number | 1700022811 |
|---|---|
| Provider Enumeration Date | 12/18/2008 |
| Last Update Date | 04/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700022811 | NPI | - | NPPES |
| 2913039 | Medicaid | OH | |
| 200974880A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Mercy Health Physicians Cincinnati, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10450 New Haven Rd, Harrison, OH 45030 Phone: 513-367-2780 Fax: 513-981-4346 |