| St. Bernard Elmwood Place High School | |
|
4615 Tower Ave Saint Bernard OH 45217-1724 | |
| (513) 242-1033 | |
| (513) 242-1539 |
| Full Name | St. Bernard Elmwood Place High School |
|---|---|
| Speciality | Clinic/Center |
| Location | 4615 Tower Ave, Saint Bernard, Ohio |
| Authorized Official Name and Position | Miriam Crenshaw (CEO) |
| Authorized Official Contact | 5132421033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Bernard Elmwood Place High School 5275 Winneste Ave Cincinnati OH 45232-1130 Ph: (513) 242-1033 | St. Bernard Elmwood Place High School 4615 Tower Ave Saint Bernard OH 45217-1724 Ph: (513) 242-1033 |
| NPI Number | 1750551131 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 09/07/2022 |
| Medicare PECOS PAC ID | 6507881406 |
|---|---|
| Medicare Enrollment ID | O20080320000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750551131 | NPI | - | NPPES |
| 2857332 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
St. Bernard Elementary Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4515 Tower Ave, Saint Bernard, OH 45217 Phone: 513-242-1033 Fax: 513-242-1539 | |
St. Bernard Elementary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4515 Tower Ave, Saint Bernard, OH 45217 Phone: 513-242-1033 Fax: 513-242-1539 | |
St. Bernard Elmwood Place High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4615 Tower Ave, Saint Bernard, OH 45217 Phone: 513-242-1033 Fax: 513-242-1539 |