Healthcare Provider Details

I. General information

NPI: 1821718016
Provider Name (Legal Business Name): WINTON HILLS MEDICAL AND HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5275 WINNESTE AVE
CINCINNATI OH
45232-1130
US

IV. Provider business mailing address

1019 LINN ST
CINCINNATI OH
45203-1314
US

V. Phone/Fax

Practice location:
  • Phone: 513-233-7100
  • Fax: 513-242-1539
Mailing address:
  • Phone: 513-233-7100
  • Fax: 513-242-1760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RUTHETTA TUDOR
Title or Position: COO
Credential:
Phone: 513-233-7100