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Organization

RIVERSIDE MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EYAD K ALHAH MD (CEO)
(513) 542-2456
Entity
Organization

Contact information

Practice address
3609 ALEXANDRIA PIKE, COLD SPRING, KY 41076-2029
(513) 542-2456
(513) 542-3139
Mailing address
636 NORTHLAND BLVD, STE 150, CINCINNATI, OH 45240-3221
(513) 542-2456
(513) 542-3139

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
04979738
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64345002
KY
05
65906976
KY
Enumeration date
05/21/2008
Last updated
05/21/2008
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