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NPI Code Detail

MEDICARE: BETHESDA HEALTHCARE, INC

MEDICARE: BETHESDA HEALTHCARE, 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
12083X0100XOccupational Medicine Physician

General Provider Information

NPI Number : 1669626883
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHESDA HEALTHCARE, INC
Provider Business Mailing Address
First Line : PO BOX 630185
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-0185
Country : US
Telephone Number : 513-891-7230
Fax Number : 513-891-7354
Provider Business Practice Location Address
First Line : 1150 W 8TH ST
Second Line : SUITE 120
City : CINCINNATI
State : OH
Zip : 45203-1202
Country : US
Telephone Number : 513-241-4135
Fax Number : 513-241-6510
Authorized Official
Title or Position : VICE PRESIDENT
Name : MS. PAMELA SHANNON
Credential :
Telephone Number : 513-977-0005
Provider Enumeration Date : 11/14/2008
Last Update Date : 11/14/2008

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Directions to “BETHESDA HEALTHCARE, INC ” Practice Location

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