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NPI Code Detail

MEDICARE: CITY OF CINCINNATI

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
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

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

General Provider Information

NPI Number : 1891018511
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 : 513-357-7280
Fax Number : 513-357-7477
Provider Business Practice Location Address
First Line : 3917 SPRING GROVE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45223-3302
Country : US
Telephone Number : 513-357-7600
Fax Number : 513-352-3939
Authorized Official
Title or Position : HEALTH COMMISSIONER
Name : DR. NOBLE MASERU
Credential : PHD, MPH
Telephone Number : 513-357-7280
Provider Enumeration Date : 03/09/2010
Last Update Date : 08/10/2011

Similar Medicare Providers

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Practice Location Address:
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1164525242 — MS. ROSE WULLIGER R.PH
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1639273774 — DR. DUANE EDGAR LEWIS DDS
Practice Location Address:
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Practice Fax:
1063591949 — CITY OF CINCINNATI
Practice Location Address:
3917 SPRING GROVE AVE
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1922154327 — CITY OF CINCINNATI
Practice Location Address:
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1346563061 — CITY OF CINCINNATI
Practice Location Address:
3917 SPRING GROVE AVE
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45223-3302
Practice Phone: 513-357-7600
Practice Fax: 513-352-3939

Directions to “CITY OF CINCINNATI ” Practice Location

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