MEDICARE: CITY OF CINCINNATI

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	1223D0001X	Public Health Dentistry
2	251K00000X	Public Health or Welfare Agency
3	291U00000X	Clinical Medical Laboratory	36D0894909	OH
4	292200000X	Dental Laboratory
5	261QP2300X	Primary Care Clinic/Center

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	:	1811900061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF CINCINNATI

Provider Business Mailing Address
First Line	:	3101 BURNET AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3014
Country	:	US
Telephone Number	:	513-357-7289
Fax Number	:	513-357-7396

Provider Business Practice Location Address
First Line	:	1525 ELM ST
Second Line	:	ELM STREET HEALTH CENTER
City	:	CINCINNATI
State	:	OH
Zip	:	45202-6957
Country	:	US
Telephone Number	:	513-352-3092
Fax Number	:	513-352-1429

Authorized Official
Title or Position	:	HEALTH COMMISSIONER
Name	:	DR. NOBLE MASERU
Credential	:	PHD MPH
Telephone Number	:	513-357-7280

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	01/19/2012

Similar Medicare Providers

1962484956 — DENISE M SAKER MD
Practice Location Address:

1525 ELM ST
CINCINNATI, OH
45202-6957

Practice Phone: 513-357-7320
Practice Fax: 513-352-1429

1154307247 — DR. MONAL A MEHTA MD
Practice Location Address:

1525 ELM ST , ELM STREET HEALTH CENTER
CINCINNATI, OH
45202-6957

Practice Phone: 513-352-3092
Practice Fax: 513-352-1429

1952387052 — DR. SUSAN V. GONZALES M.D.
Practice Location Address:

1525 ELM STREET , ELM STREET HEALTH CENTER
CINCINNATI, OH
45202-6957

Practice Phone: 513-352-3092
Practice Fax: 513-352-1429

1306851027 — CITY OF CINCINNATI
Practice Location Address:

1525 ELM ST , 3RD FLOOR HOME HEALTH PROGRAM
CINCINNATI, OH
45202-6957

Practice Phone: 513-352-3160
Practice Fax: 513-352-3161

1457468860 — CITY OF CINCINNATI
Practice Location Address:

1525 ELM ST
CINCINNATI, OH
45202-6957

Practice Phone: 513-352-3092
Practice Fax: 513-352-1429

1083717169 — MR. CHRISTOPHER ALAN PAYNE R.PH
Practice Location Address:

1525 ELM ST
CINCINNATI, OH
45202-6957

Practice Phone: 513-352-3092
Practice Fax: 513-352-1429

Directions to “CITY OF CINCINNATI ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.