| City Of Cincinnati | |
|
612 Rockdale Ave Cincinnati OH 45229-2919 | |
| (513) 352-4072 | |
| (513) 352-4075 |
| Full Name | City Of Cincinnati |
|---|---|
| Speciality | Clinic/Center |
| Location | 612 Rockdale Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Noble Maseru (HEALTH COMMISSIONER) |
| Authorized Official Contact | 5133577280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Cincinnati 3101 Burnet Ave Cincinnati OH 45229-3014 Ph: (531) 357-7280 | City Of Cincinnati 612 Rockdale Ave Cincinnati OH 45229-2919 Ph: (513) 352-4072 |
| NPI Number | 1245553965 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Medicare PECOS PAC ID | 3476467804 |
|---|---|
| Medicare Enrollment ID | O20090922000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245553965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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