Healthcare Provider Details

I. General information

NPI: 1164436135
Provider Name (Legal Business Name): WEST END HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 03/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1413 LINN ST
CINCINNATI OH
45214-2605
US

IV. Provider business mailing address

1413 LINN ST
CINCINNATI OH
45214-2605
US

V. Phone/Fax

Practice location:
  • Phone: 513-621-2727
  • Fax: 513-621-2330
Mailing address:
  • Phone: 513-621-2727
  • Fax: 513-621-2330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. STEPHANIE LYNN
Title or Position: ADMINISTRATOR OF BILLING
Credential:
Phone: 513-542-2456