| Mt. Airy Elementary | |
|
5730 Colerain Ave Cincinnati OH 45239-6714 | |
| (513) 363-3721 | |
| Not Available |
| Full Name | Mt. Airy Elementary |
|---|---|
| Speciality | Clinic/Center |
| Location | 5730 Colerain 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 |
|---|---|
| Mt. Airy Elementary 3101 Burnet Ave Cincinnati OH 45229-3014 Ph: (513) 357-2809 | Mt. Airy Elementary 5730 Colerain Ave Cincinnati OH 45239-6714 Ph: (513) 363-3721 |
| NPI Number | 1538586706 |
|---|---|
| Provider Enumeration Date | 03/25/2014 |
| Last Update Date | 03/25/2014 |
| Medicare PECOS PAC ID | 3476467804 |
|---|---|
| Medicare Enrollment ID | O20150324002880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538586706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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