| |
407 Oak Street Elmwood OH 45219-2504 | |
(513) 242-1033 | |
(513) 242-1539 |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 407 Oak Street, Elmwood, Ohio |
Authorized Official Name and Position | Miriam Crenshaw (CEO) |
Authorized Official Contact | 5132421033 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5275 Winneste Ave Cincinnati OH 45232-1130 Ph: (513) 242-1033 | 407 Oak Street Elmwood OH 45219-2504 Ph: (513) 242-1033 |
NPI Number | 1952572612 |
---|---|
Provider Enumeration Date | 03/20/2008 |
Last Update Date | 03/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952572612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |