Healthcare Provider Details
I. General information
NPI: 1548598162
Provider Name (Legal Business Name): WINTON HILLS MEDICAL & HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/19/2009
Last Update Date: 05/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1019 LINN ST
CINCINNATI OH
45203-1314
US
IV. Provider business mailing address
1019 LINN ST
CINCINNATI OH
45203-1314
US
V. Phone/Fax
- Phone: 513-233-7100
- Fax: 513-242-1539
- Phone: 513-233-7100
- Fax: 513-242-1539
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MIRIAM
CRENSHAW
Title or Position: CEO
Credential:
Phone: 513-233-7100