| Princeton City School District School-based Health Center | |
|
100 Viking Way Cincinnati OH 45246-1139 | |
| (513) 864-1545 | |
| (513) 552-8511 |
| Full Name | Princeton City School District School-based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Viking Way, 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 |
|---|---|
| Princeton City School District School-based Health Center 100 Viking Way Cincinnati OH 45246-1139 Ph: (513) 864-1545 | Princeton City School District School-based Health Center 100 Viking Way Cincinnati OH 45246-1139 Ph: (513) 864-1545 |
| NPI Number | 1174867881 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 10/12/2016 |
| Medicare PECOS PAC ID | 8628988318 |
|---|---|
| Medicare Enrollment ID | O20180209000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174867881 | NPI | - | NPPES |
| 0077085 | Medicaid | OH | |
| 1174867881 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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