MEDICARE: PREXUS HEALTH ASSOCIATES, LLC

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	174400000X	Specialist

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	:	1306858527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREXUS HEALTH ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	3145 HAMILTON MASON RD STE 100
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-8556
Country	:	US
Telephone Number	:	513-454-1414
Fax Number	:

Provider Business Practice Location Address
First Line	:	3145 HAMILTON MASON RD STE 100
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-8556
Country	:	US
Telephone Number	:	513-454-1414
Fax Number	:

Authorized Official
Title or Position	:	VP MANAGED CARE
Name	:	ROBYN FINNEGAN
Credential	:
Telephone Number	:	513-454-1428

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	01/03/2008

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Directions to “PREXUS HEALTH ASSOCIATES, LLC ” Practice Location

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