| Rothenberg Preparatory Academy Sbhc | |
|
241 E Clifton Ave Cincinnati OH 45202-8905 | |
| (513) 381-2247 | |
| Not Available |
| Full Name | Rothenberg Preparatory Academy Sbhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 241 E Clifton Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Jamie Berrens (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5137075755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rothenberg Preparatory Academy Sbhc 5 E Liberty St Cincinnati OH 45202-8202 Ph: (513) 381-2247 | Rothenberg Preparatory Academy Sbhc 241 E Clifton Ave Cincinnati OH 45202-8905 Ph: (513) 381-2247 |
| NPI Number | 1366860223 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 02/23/2024 |
| Medicare PECOS PAC ID | 7517966211 |
|---|---|
| Medicare Enrollment ID | O20151209000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366860223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Ohio) | Primary |
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