Organization
CITY OF CINCINNATI
Active
Organization
CITY OF CINCINNATI
Active
Other names
Ethel M. Taylor Academy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOBLE MASERU PHD (HEALTH COMMISSIONER)
(513) 357-7280
Entity
Organization
Contact information
Practice address
1930 FRICKE RD, CINCINNATI, OH 45225-1200
(513) 357-7208
Mailing address
3101 BURNET AVE, CINCINNATI, OH 45229-3014
(513) 357-7288
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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