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NPI Code Detail

MEDICARE: ALLIANCE PRIMARY CARE

MEDICARE: ALLIANCE PRIMARY 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
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063685790
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIANCE PRIMARY CARE
Provider Business Mailing Address
First Line : 3200 BURNET AVE
Second Line : 1 RIDGEWAY
City : CINCINNATI
State : OH
Zip : 45229-3019
Country : US
Telephone Number : 513-585-9305
Fax Number : 513-585-6146
Provider Business Practice Location Address
First Line : 903 NW WASHINGTON BLVD
Second Line : SUITE A
City : HAMILTON
State : OH
Zip : 45013-6386
Country : US
Telephone Number : 513-785-3677
Fax Number : 513-785-3675
Authorized Official
Title or Position : DIRECTOR PATIENT ACCOUNTING
Name : JAMES LARSON
Credential :
Telephone Number : 513-585-9336
Provider Enumeration Date : 04/02/2008
Last Update Date : 04/02/2008

Similar Medicare Providers

1528066743 — DR. DANIEL G NIEHAUS M.D.
Practice Location Address:
903 NW WASHINGTON BLVD , SUITE B
HAMILTON, OH
45013-6386
Practice Phone: 513-867-9000
Practice Fax: 513-785-3675
1538168844 — DR. MINI PETERSON PATHROSE M.D.
Practice Location Address:
903 NW WASHINGTON BLVD , SUITE B
HAMILTON, OH
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Practice Phone: 513-867-9000
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1275532590 — DR. CHAD H DUNKLE M.D.
Practice Location Address:
903 NW WASHINGTON BLVD , SUITE B
HAMILTON, OH
45013-6386
Practice Phone: 513-867-9000
Practice Fax: 513-785-3675
1508865619 — DR. RAJESH KHANNA M.D.
Practice Location Address:
903 NW WASHINGTON BLVD , SUITE B
HAMILTON, OH
45013-6386
Practice Phone: 513-867-9000
Practice Fax: 513-785-3675
1457632168 — ALLIANCE PHYSICIAN INC
Practice Location Address:
903 NW WASHINGTON BLVD , SUITE B
HAMILTON, OH
45013-6386
Practice Phone: 513-867-9000
Practice Fax: 513-785-3675
1285179911 — RACHEL VREELAND FNP-C
Practice Location Address:
903 NW WASHINGTON BLVD
HAMILTON, OH
45013-6386
Practice Phone: 513-454-1111
Practice Fax: 513-737-1592

Directions to “ALLIANCE PRIMARY CARE ” Practice Location

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