MEDICARE: MELINDA HILL

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	251B00000X	Case Management Agency		OH
2	171M00000X	Case Manager/Care Coordinator		OH

General Provider Information

NPI Number	:	1679075477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA HILL

Provider Business Mailing Address
First Line	:	5563 FAR HILLS AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2225
Country	:	US
Telephone Number	:	937-291-2300
Fax Number	:	937-291-2303

Provider Business Practice Location Address
First Line	:	5563 FAR HILLS AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2225
Country	:	US
Telephone Number	:	937-291-2300
Fax Number	:	937-291-2303

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

Provider Enumeration Date	:	03/07/2018
Last Update Date	:	12/13/2023

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Directions to “ MELINDA HILL ” Practice Location

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