| Roberts Paideia Academy | |
|
1702 Grand Ave Cincinnati OH 45214-1502 | |
| (513) 357-7208 | |
| Not Available |
| Full Name | Roberts Paideia Academy |
|---|---|
| Speciality | Clinic/Center |
| Location | 1702 Grand Ave, 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 |
|---|---|
| Roberts Paideia Academy 3101 Burnet Ave Cincinnati OH 45229-3014 Ph: (513) 357-7288 | Roberts Paideia Academy 1702 Grand Ave Cincinnati OH 45214-1502 Ph: (513) 357-7208 |
| NPI Number | 1285980946 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Medicare PECOS PAC ID | 3476467804 |
|---|---|
| Medicare Enrollment ID | O20180213003345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285980946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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