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2020 Sherman Ave Ste 202 Cincinnati OH 45212-2616 | |
(513) 318-1188 | |
(513) 318-1189 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2020 Sherman Ave Ste 202, Cincinnati, Ohio |
Authorized Official Name and Position | Catherine Engle (CEO) |
Authorized Official Contact | 5135039610 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3420 Atrium Blvd Ste 102 Middletown OH 45005-5186 Ph: (513) 318-1188 | 2020 Sherman Ave Ste 202 Cincinnati OH 45212-2616 Ph: (513) 318-1188 |
NPI Number | 1568055267 |
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Provider Enumeration Date | 02/15/2021 |
Last Update Date | 01/02/2024 |
Medicare PECOS PAC ID | 3577793314 |
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Medicare Enrollment ID | O20210406000702 |
Identifier | Type | State | Issuer |
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1568055267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Oki Kidney Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4760 E Galbraith Rd, Ste 217, Cincinnati, OH 45236 Phone: 513-842-2000 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 |