Healthcare Provider Details

I. General information

NPI: 1699203349
Provider Name (Legal Business Name): COMMUNITY FIRST HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2017
Last Update Date: 04/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8595 BEECHMONT AVE STE 200
CINCINNATI OH
45255-4740
US

IV. Provider business mailing address

PO BOX 32113
LOUISVILLE KY
40232-2113
US

V. Phone/Fax

Practice location:
  • Phone: 513-713-0177
  • Fax: 513-268-7744
Mailing address:
  • Phone: 513-447-3009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CURTIS SHAIN
Title or Position: CEO
Credential:
Phone: 502-420-8062