| Mt. Healthy Family Practice Center | |
|
1411 Compton Rd Cincinnati OH 45231-3559 | |
| (513) 522-7500 | |
| (513) 728-4064 |
| Full Name | Mt. Healthy Family Practice Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1411 Compton Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Dolores J Lindsay (CEO) |
| Authorized Official Contact | 5134833080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Healthy Family Practice Center 1411 Compton Rd Cincinnati OH 45231-3559 Ph: (513) 522-7500 | Mt. Healthy Family Practice Center 1411 Compton Rd Cincinnati OH 45231-3559 Ph: (513) 522-7500 |
| NPI Number | 1154347789 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/14/2020 |
| Medicare PECOS PAC ID | 8628988318 |
|---|---|
| Medicare Enrollment ID | O20080409000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154347789 | NPI | - | NPPES |
| 0826360 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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