MEDICARE: CARLA HUTCHINGS TPF

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	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0919	OTHER		NONE

General Provider Information

NPI Number	:	1649852179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA HUTCHINGS TPF

Provider Business Mailing Address
First Line	:	1427 ADAMS ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-1907
Country	:	US
Telephone Number	:	513-200-1867
Fax Number	:

Provider Business Practice Location Address
First Line	:	1427 ADAMS ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-1907
Country	:	US
Telephone Number	:	513-200-1867
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2021
Last Update Date	:	04/23/2021

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Directions to “ CARLA HUTCHINGS TPF” Practice Location

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