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NPI Code Detail

MEDICARE: CENTRAL COMMUNITY HEALTH BOARD OF HAMILTON COUNTY INC

MEDICARE: CENTRAL COMMUNITY HEALTH BOARD OF HAMILTON COUNTY INC
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
1251K00000XPublic Health or Welfare Agency

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 : 1275896821
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL COMMUNITY HEALTH BOARD OF HAMILTON COUNTY INC
Provider Business Mailing Address
First Line : 532 MAXWELL AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2408
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 532 MAXWELL AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2408
Country : US
Telephone Number : 513-559-2000
Fax Number :
Authorized Official
Title or Position : EXECUUTIVE DIRECTOR
Name : MR. BENNETT J COOPER JR.
Credential :
Telephone Number : 513-559-2913
Provider Enumeration Date : 06/19/2012
Last Update Date : 06/19/2012

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