Organization
CITY OF CINCINNATI
Active
Other names
Withrow High School
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOBLE MASERU PHD (HEALTH COMMISSIONER)
(513) 357-7280
Entity
Organization
Contact information
Practice address
2520 MADISON RD, CINCINNATI, OH 45208-1257
(513) 357-2809
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066418
—
OH
Enumeration date
06/13/2012
Last updated
08/29/2012
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