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11961 Chesterdale Rd Cincinnati OH 45246-2037 | |
(513) 864-1402 | |
(513) 864-1401 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 11961 Chesterdale Rd, Cincinnati, Ohio |
Authorized Official Name and Position | Dolores J Lindsay (CEO) |
Authorized Official Contact | 5134833080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11961 Chesterdale Rd Cincinnati OH 45246-2037 Ph: (513) 864-1402 | 11961 Chesterdale Rd Cincinnati OH 45246-2037 Ph: (513) 864-1402 |
NPI Number | 1750797163 |
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Provider Enumeration Date | 07/07/2014 |
Last Update Date | 10/12/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750797163 | NPI | - | NPPES |
0138534 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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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 |