MEDICARE: NEIGHBORHOOD HEALTH CARE, 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
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1396092110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	2415 AUBURN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2701
Country	:	US
Telephone Number	:	513-221-4949
Fax Number	:

Provider Business Practice Location Address
First Line	:	1935 FAIRFAX AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45207-1905
Country	:	US
Telephone Number	:	513-363-2700
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. MARCIA IRVING-RAY
Credential	:	DDS
Telephone Number	:	513-221-4949

Provider Enumeration Date	:	08/10/2012
Last Update Date	:	08/10/2012

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