| Fairfield Cardiac Cath Lab | |
|
3000 Mack Road Suite 200 Fairfield OH 45014 | |
| (513) 603-8888 | |
| Not Available |
| Full Name | Fairfield Cardiac Cath Lab |
|---|---|
| Speciality | Clinic/center |
| Location | 3000 Mack Road, Fairfield, Ohio |
| Authorized Official Name and Position | Brenda L Vandeventer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5136038888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Cardiac Cath Lab 3000 Mack Road Suite 200 Fairfield OH 45014 Ph: (513) 603-8888 | Fairfield Cardiac Cath Lab 3000 Mack Road Suite 200 Fairfield OH 45014 Ph: (513) 603-8888 |
| NPI Number | 1497823975 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497823975 | NPI | - | NPPES |
| 2383424 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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