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NPI Code Detail

MEDICARE: CATHOLIC CHARITIES OF SOUTHWESTERN OHIO

MEDICARE: CATHOLIC CHARITIES OF SOUTHWESTERN OHIO
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
1101Y00000XCounselor
2104100000XSocial Worker
3251V00000XVoluntary or Charitable Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659304129
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC CHARITIES OF SOUTHWESTERN OHIO
Provider Business Mailing Address
First Line : 1910 FAIRGROVE AVE
Second Line : SUITE B
City : HAMILTON
State : OH
Zip : 45011-1930
Country : US
Telephone Number : 513-863-6129
Fax Number : 513-863-0524
Provider Business Practice Location Address
First Line : 1910 FAIRGROVE AVE
Second Line : SUITE B
City : HAMILTON
State : OH
Zip : 45011-1930
Country : US
Telephone Number : 513-863-6129
Fax Number : 513-863-0524
Authorized Official
Title or Position : CEO
Name : MR. TED BERGH
Credential :
Telephone Number : 513-241-7745
Provider Enumeration Date : 07/08/2006
Last Update Date : 07/18/2018

Similar Medicare Providers

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Practice Location Address:
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Practice Location Address:
1910 FAIRGROVE AVE STE E
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Practice Fax:
1306993985 — QUINTON E MOSS MD
Practice Location Address:
1910 FAIRGROVE AVE STE E
HAMILTON, OH
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1184863805 — BUTLER COUNTY EDUCATIONAL SERVICE CENTER
Practice Location Address:
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1225260888 — MODERN PSYCHIATRY AND WELLNESS LLC
Practice Location Address:
1910 FAIRGROVE AVE STE E
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Directions to “CATHOLIC CHARITIES OF SOUTHWESTERN OHIO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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