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4623 Wesley Ave Suite G Cincinnati OH 45212-2246 | |
(513) 631-3338 | |
(513) 631-3385 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4623 Wesley Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Marcia A Irving-ray (CEO) |
Authorized Official Contact | 5132214949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2415 Auburn Ave Cincinnati OH 45219-2701 Ph: (513) 221-4949 | 4623 Wesley Ave Suite G Cincinnati OH 45212-2246 Ph: (513) 631-3338 |
NPI Number | 1265678791 |
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Provider Enumeration Date | 01/06/2009 |
Last Update Date | 04/05/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265678791 | NPI | - | NPPES |
2891401 | Medicaid | OH |
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 |