Healthcare Provider Details

I. General information

NPI: 1922154327
Provider Name (Legal Business Name): CITY OF CINCINNATI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 02/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3917 SPRING GROVE AVE
CINCINNATI OH
45223-3302
US

IV. Provider business mailing address

3101 BURNET AVE
CINCINNATI OH
45229-3014
US

V. Phone/Fax

Practice location:
  • Phone: 513-357-7600
  • Fax: 513-352-3939
Mailing address:
  • Phone: 513-357-7289
  • Fax: 513-357-7396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NOBLE MASERU
Title or Position: HEALTH COMMISSIONER
Credential: PH.D, MPH
Phone: 513-357-7280