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NPI Code Detail

MEDICARE: CAREBRIDGE PALLIATIVE SERVICES INC.

MEDICARE: CAREBRIDGE PALLIATIVE SERVICES 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
12084H0002XHospice and Palliative Medicine (Psychiatry & Neurology) Physician1852107OH

General Provider Information

NPI Number : 1831423334
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREBRIDGE PALLIATIVE SERVICES INC.
Provider Business Mailing Address
First Line : 7625 CAMARGO RD
Second Line : SUITE 200
City : CINCINNATI
State : OH
Zip : 45243-3107
Country : US
Telephone Number : 513-528-8150
Fax Number : 513-528-8151
Provider Business Practice Location Address
First Line : 7625 CAMARGO RD
Second Line : SUITE 200
City : CINCINNATI
State : OH
Zip : 45243-3107
Country : US
Telephone Number : 513-528-8150
Fax Number : 513-528-8151
Authorized Official
Title or Position : CEO
Name : MR. JOSEPH KILLIAN
Credential :
Telephone Number : 513-528-8150
Provider Enumeration Date : 09/30/2009
Last Update Date : 09/30/2009

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