# CAREBRIDGE PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAREBRIDGE PALLIATIVE SERVICES INC
- **Other names:** CAREBRIDGE PRIMARY CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457814337
- **Legal business name:** CAREBRIDGE PALLIATIVE SERVICES INC
- **Authorized official:** ANGELA BOWMAN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (513) 528-8779

## Contact information

- **Practice address:** 7625 CAMARGO RD, CINCINNATI, OH 45243-3107
- **Practice address phone:** (513) 528-8150
- **Mailing address:** 7625 CAMARGO RD, CINCINNATI, OH 45243-3107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2019
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3031614 | — | OH |