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NPI Code Detail

MEDICARE: SLEEP CENTERS OF EASTGATE LLC

MEDICARE: SLEEP CENTERS OF EASTGATE LLC
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
1261QS1200XSleep Disorder Diagnostic Clinic/Center

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 : 1477500726
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEP CENTERS OF EASTGATE LLC
Provider Business Mailing Address
First Line : 4355 FERGUSON DR
Second Line : SUITE 100
City : CINCINNATI
State : OH
Zip : 45245-5136
Country : US
Telephone Number : 513-753-4100
Fax Number : 513-753-8602
Provider Business Practice Location Address
First Line : 4355 FERGUSON DR
Second Line : SUITE 100
City : CINCINNATI
State : OH
Zip : 45245-5136
Country : US
Telephone Number : 513-753-4100
Fax Number : 513-753-8602
Authorized Official
Title or Position : CEO
Name : JAMES C SNIDER
Credential :
Telephone Number : 513-459-7750
Provider Enumeration Date : 05/30/2006
Last Update Date : 08/22/2020

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Directions to “SLEEP CENTERS OF EASTGATE LLC ” Practice Location

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