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General NPI Number Information
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NPI Number | 1699203349
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Entity Type | Organization
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Legal Business Name | COMMUNITY FIRST HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 04/10/2018
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Provider Practice Location Address
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Address Line | 8595 BEECHMONT AVE STE 200
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City | CINCINNATI
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State | OH
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Zip | 45255-4740
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Country | US
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Telephone | 513-713-0177
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Fax | 513-268-7744
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Provider Business Mailing Address
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Address Line | PO BOX 32113
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City | LOUISVILLE
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State | KY
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Zip | 40232-2113
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Country | US
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Telephone | 513-447-3009
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CURTIS SHAIN
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Credential |
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Telephone | 502-420-8062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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