| Tri State Primary Care Llc | |
|
4010 N Bend Rd Cincinnati OH 45211-3500 | |
| (513) 598-3500 | |
| (513) 598-3508 |
| Full Name | Tri State Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4010 N Bend Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Kelly Bernens (BUSINESS MANAGER PHYSICIAN PRACTICE) |
| Authorized Official Contact | 5135592891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri State Primary Care Llc Po Box 633359 Cincinnati OH 45263-3359 Ph: (513) 557-3330 | Tri State Primary Care Llc 4010 N Bend Rd Cincinnati OH 45211-3500 Ph: (513) 598-3500 |
| NPI Number | 1225016298 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225016298 | NPI | - | NPPES |
| 2327682 | Medicaid | OH | |
| 200415580B | Medicaid | IN | |
| 200415580A | Medicaid | IN | |
| 65939001 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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