Healthcare Provider Details

I. General information

NPI: 1609933068
Provider Name (Legal Business Name): BABIES MILK FUND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 01/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MARTIN LUTHER KING DR E
CINCINNATI OH
45229-3367
US

IV. Provider business mailing address

400 MARTIN LUTHER KING DR E
CINCINNATI OH
45229-3367
US

V. Phone/Fax

Practice location:
  • Phone: 513-281-8000
  • Fax: 513-281-5221
Mailing address:
  • Phone: 513-281-8000
  • Fax: 513-281-5221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MIKE RINCK
Title or Position: DIRECTOR OF CLINICAL OPERATIONS
Credential:
Phone: 513-559-5514