MEDICARE: WINTON HILLS MEDICAL & HEALTH CENTER

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	261QP2300X	Primary Care Clinic/Center		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215096128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINTON HILLS MEDICAL & HEALTH CENTER

Provider Business Mailing Address
First Line	:	5275 WINNESTE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45232-1130
Country	:	US
Telephone Number	:	513-242-1033
Fax Number	:	513-242-1539

Provider Business Practice Location Address
First Line	:	5275 WINNESTE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45232-1130
Country	:	US
Telephone Number	:	513-242-1033
Fax Number	:	513-242-1539

Authorized Official
Title or Position	:	CEO
Name	:	MIRIAM CRENSHAW
Credential	:
Telephone Number	:	513-242-1033

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	09/26/2007

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