Healthcare Provider Details

I. General information

NPI: 1548393309
Provider Name (Legal Business Name): ONCOLOGY HEMATOLOGY CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 CENTRE VIEW BLVD
CRESTVIEW HILLS KY
41017-5419
US

IV. Provider business mailing address

651 CENTRE VIEW BLVD
CRESTVIEW HILLS KY
41017-5419
US

V. Phone/Fax

Practice location:
  • Phone: 859-341-6660
  • Fax: 859-578-3045
Mailing address:
  • Phone: 859-341-6660
  • Fax: 859-578-3045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD R BROUN
Title or Position: PRESIDENT
Credential: MD
Phone: 513-751-2145