| Mt. Carmel Family Medicine, Inc. | |
|
473 Old State Route 74 Suite 4 Cincinnati OH 45244 | |
| (513) 528-1505 | |
| (513) 528-5982 |
| Full Name | Mt. Carmel Family Medicine, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 473 Old State Route 74, Cincinnati, Ohio |
| Authorized Official Name and Position | Donald R Williams (PRESIDENT) |
| Authorized Official Contact | 5135281505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Carmel Family Medicine, Inc. Po Box 631997 Cincinnati OH 45263-0020 Ph: (513) 528-1505 | Mt. Carmel Family Medicine, Inc. 473 Old State Route 74 Suite 4 Cincinnati OH 45244 Ph: (513) 528-1505 |
| NPI Number | 1194744144 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194744144 | NPI | - | NPPES |
| 2196225 | Medicaid | OH | |
| 000000075155 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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