Healthcare Provider Details

I. General information

NPI: 1871997080
Provider Name (Legal Business Name): TALBERT HOUSE HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CONOVER DR STE B
FRANKLIN OH
45005-1900
US

IV. Provider business mailing address

3420 ATRIUM BLVD STE 102
MIDDLETOWN OH
45005-5186
US

V. Phone/Fax

Practice location:
  • Phone: 513-318-1188
  • Fax: 513-318-1189
Mailing address:
  • Phone: 513-318-1188
  • Fax: 513-318-1189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KETRA GRINDROD
Title or Position: CREDENTIALING & ENROLLMENTS SPECIAL
Credential:
Phone: 513-318-1188