| South Avondale School Based Health Center | |
|
636 Prospect Pl Cincinnati OH 45229-2916 | |
| (513) 363-5522 | |
| Not Available |
| Full Name | South Avondale School Based Health Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 636 Prospect Pl, 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 |
|---|---|
| South Avondale School Based Health Center 2415 Auburn Ave Cincinnati OH 45219-2701 Ph: (513) 221-4949 | South Avondale School Based Health Center 636 Prospect Pl Cincinnati OH 45229-2916 Ph: (513) 363-5522 |
| NPI Number | 1710297734 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 04/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710297734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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