| |
100 River Valley Blvd New Richmond OH 45157-8566 | |
(513) 553-3114 | |
(513) 553-1032 |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 100 River Valley Blvd, New Richmond, 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 | 100 River Valley Blvd New Richmond OH 45157-8566 Ph: (513) 553-3114 |
NPI Number | 1184728230 |
---|---|
Provider Enumeration Date | 09/11/2006 |
Last Update Date | 09/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184728230 | NPI | - | NPPES |
0421225 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |