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8000 Five Mile Rd Suite 207 Cincinnati OH 45230-4523 | |
(513) 474-2870 | |
(513) 688-8585 |
Full Name | |
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Speciality | Clinic/Center |
Location | 8000 Five Mile Rd, Cincinnati, Ohio |
Authorized Official Name and Position | Joseph W Prather Ii (CEO) |
Authorized Official Contact | 5137074041 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | 8000 Five Mile Rd Suite 207 Cincinnati OH 45230-4523 Ph: (513) 474-2870 |
NPI Number | 1942646799 |
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Provider Enumeration Date | 05/21/2013 |
Last Update Date | 09/18/2024 |
Medicare PECOS PAC ID | 2264328749 |
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Medicare Enrollment ID | O20131014001266 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942646799 | NPI | - | NPPES |
0102895 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Oki Kidney Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4760 E Galbraith Rd, Ste 217, Cincinnati, OH 45236 Phone: 513-842-2000 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 |