Healthcare Provider Details
I. General information
NPI: 1578694469
Provider Name (Legal Business Name): ONCOLOGY HEMATOLOGY CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2007
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8000 5 MILE RD STE 100
CINCINNATI OH
45230-2187
US
IV. Provider business mailing address
8000 5 MILE RD STE 100
CINCINNATI OH
45230-2187
US
V. Phone/Fax
- Phone: 513-624-1920
- Fax: 513-624-1923
- Phone: 513-624-1920
- Fax: 513-624-1923
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home 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