| Taft High School | |
|
420 Ezzard Charles Dr Cincinnati OH 45214-2806 | |
| (513) 363-8221 | |
| Not Available |
| Full Name | Taft High School |
|---|---|
| Speciality | Clinic/Center |
| Location | 420 Ezzard Charles Dr, 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 |
|---|---|
| Taft High School 3101 Burnet Ave Cincinnati OH 45229-3014 Ph: (513) 357-2809 | Taft High School 420 Ezzard Charles Dr Cincinnati OH 45214-2806 Ph: (513) 363-8221 |
| NPI Number | 1689021230 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 05/24/2016 |
| Medicare PECOS PAC ID | 3476467804 |
|---|---|
| Medicare Enrollment ID | O20160916001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689021230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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