| |
6131 Campus Ln Cincinnati OH 45230-1601 | |
(513) 732-5088 | |
(513) 231-2620 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 6131 Campus Ln, Cincinnati, Ohio |
Authorized Official Name and Position | Joseph W Prather Ii (CEO) |
Authorized Official Contact | 5137074041 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | 6131 Campus Ln Cincinnati OH 45230-1601 Ph: (513) 732-5088 |
NPI Number | 1659611424 |
---|---|
Provider Enumeration Date | 02/15/2013 |
Last Update Date | 09/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659611424 | NPI | - | NPPES |
0109532 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (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 |