MEDICARE: ONCOLOGY HEMATOLOGY CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251F00000X	Home Infusion Agency

General Provider Information

NPI Number	:	1205967106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONCOLOGY HEMATOLOGY CARE, INC

Provider Business Mailing Address
First Line	:	860 NW WASHINGTON BLVD
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45013-6340
Country	:	US
Telephone Number	:	513-896-6940
Fax Number	:	513-896-6947

Provider Business Practice Location Address
First Line	:	860 NW WASHINGTON BLVD
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45013-6340
Country	:	US
Telephone Number	:	513-896-6940
Fax Number	:	513-896-6947

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. EDWARD R BROUN
Credential	:	MD
Telephone Number	:	513-751-2145

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	05/20/2015

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