| |
5051 Anderson Pl Cincinnati OH 45227-1601 | |
(513) 363-2921 | |
(513) 363-2910 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 5051 Anderson Pl, Cincinnati, Ohio |
Authorized Official Name and Position | Noble Maseru (HEALTH COMMISSIONER) |
Authorized Official Contact | 5133577280 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
3101 Burnet Ave Cincinnati OH 45229-3014 Ph: (513) 357-2809 | 5051 Anderson Pl Cincinnati OH 45227-1601 Ph: (513) 363-2921 |
NPI Number | 1437577376 |
---|---|
Provider Enumeration Date | 03/28/2014 |
Last Update Date | 03/28/2014 |
Medicare PECOS PAC ID | 3476467804 |
---|---|
Medicare Enrollment ID | O20150323001711 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437577376 | NPI | - | NPPES |
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 |