| Mt. Auburn Urgent Care, Llc | |
|
2230 Auburn Ave Suite B Cincinnati OH 45219-2975 | |
| (513) 621-0007 | |
| Not Available |
| Full Name | Mt. Auburn Urgent Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2230 Auburn Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | David Eugene Bradford (OWNER) |
| Authorized Official Contact | 5137729065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Auburn Urgent Care, Llc 2230 Auburn Ave Cincinnati OH 45219-2975 Ph: (513) 621-2200 | Mt. Auburn Urgent Care, Llc 2230 Auburn Ave Suite B Cincinnati OH 45219-2975 Ph: (513) 621-0007 |
| NPI Number | 1063855294 |
|---|---|
| Provider Enumeration Date | 04/08/2013 |
| Last Update Date | 03/13/2024 |
| Medicare PECOS PAC ID | 2062653363 |
|---|---|
| Medicare Enrollment ID | O20130730000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063855294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | David E Bradford |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699054437 PECOS PAC ID: 9234301342 Enrollment ID: I20111014000401 |
| Provider Name | Cody P Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972999241 PECOS PAC ID: 9638470396 Enrollment ID: I20180820003748 |
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