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NPI Code Detail

MEDICARE: CENTRAL CLINIC ADULT CARE

MEDICARE: CENTRAL CLINIC ADULT CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center0053OH
2261QM0855XAdolescent and Children Mental Health Clinic/Center0053OH
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)0053OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
141177OTHEROHCARF ACCREDITATION
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003929894
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL CLINIC ADULT CARE
Provider Business Mailing Address
First Line : 311 ALBERT SABIN WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2801
Country : US
Telephone Number : 513-558-5823
Fax Number : 513-558-3880
Provider Business Practice Location Address
First Line : 311 ALBERT SABIN WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2801
Country : US
Telephone Number : 513-558-5823
Fax Number : 513-558-3880
Authorized Official
Title or Position : PRESIDENT / CEO
Name : DR. WALTER S SMITSON
Credential : PHD
Telephone Number : 513-558-9015
Provider Enumeration Date : 08/16/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1114003167 — MRS. HELENA LYENNA RURA LISW
Practice Location Address:
311 ALBERT SABIN WAY
CINCINNATI, OH
45229-2801
Practice Phone: 513-558-5378
Practice Fax:
1568532943 — DR. KAREN KALLBERG MIDAY MD
Practice Location Address:
311 ALBERT SABIN WAY
CINCINNATI, OH
45229-2801
Practice Phone: 513-558-5857
Practice Fax:
1255408753 — MRS. BARBARA JEAN WINCIK MSN, RN, CS
Practice Location Address:
311 ALBERT SABIN WAY
CINCINNATI, OH
45229-2801
Practice Phone: 513-558-8984
Practice Fax:
1215152616 — MISS MOLLY CASSADY RN
Practice Location Address:
311 ALBERT SABIN WAY
CINCINNATI, OH
45229-2801
Practice Phone: 513-558-5801
Practice Fax:
1558540732 — CENTRAL CLINIC INC
Practice Location Address:
311 ALBERT SABIN WAY
CINCINNATI, OH
45229-2801
Practice Phone: 513-558-9006
Practice Fax: 513-558-3880
1972733731 — MRS. BARBARA J. BERGAN LPC
Practice Location Address:
311 ALBERT SABIN WAY
CINCINNATI, OH
45229-2801
Practice Phone: 513-558-0783
Practice Fax: 513-558-5076

Directions to “CENTRAL CLINIC ADULT CARE ” Practice Location

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