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2121 Hatmaker St Cincinnati OH 45204-1947 | |
(513) 357-2808 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 2121 Hatmaker St, 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 |
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3101 Burnet Ave Cincinnati OH 45229-3014 Ph: (513) 357-7288 | 2121 Hatmaker St Cincinnati OH 45204-1947 Ph: (513) 357-2808 |
NPI Number | 1043594260 |
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Provider Enumeration Date | 10/06/2011 |
Last Update Date | 07/27/2012 |
Medicare PECOS PAC ID | 3476467804 |
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Medicare Enrollment ID | O20180102002876 |
Identifier | Type | State | Issuer |
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1043594260 | NPI | - | NPPES |
0055501 | 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 |