MEDICARE: HUBER HEIGHTS HEALTH SERVICES 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
1	261QH0100X	Health Service Clinic/Center
2	261QU0200X	Urgent 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	:	1942271713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUBER HEIGHTS HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	1 PRESTIGE PL
Second Line	:	SUITE 550
City	:	MIAMISBURG
State	:	OH
Zip	:	45342-3794
Country	:	US
Telephone Number	:	937-752-2306
Fax Number	:	937-522-7626

Provider Business Practice Location Address
First Line	:	8701 OLD TROY PIKE
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-1066
Country	:	US
Telephone Number	:	937-558-3309
Fax Number	:	937-558-3313

Authorized Official
Title or Position	:	CFO
Name	:	TIMOTHY Y KO
Credential	:
Telephone Number	:	937-558-3208

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	11/08/2013

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Directions to “HUBER HEIGHTS HEALTH SERVICES INC ” Practice Location

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