Organization
CITY OF CINCINNATI
Active
Other names
City of Cincinnati - Elm St Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOBLE MASERU PH.D, MPH (HEALTH COMMISSIONER)
(513) 357-7280
Entity
Organization
Contact information
Practice address
1525 ELM ST, CINCINNATI, OH 45202-6957
(513) 352-3092
(513) 352-1429
Mailing address
3101 BURNET AVE, CINCINNATI, OH 45229-3014
(513) 357-7289
(513) 357-7396
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0836653
—
OH
Enumeration date
08/23/2006
Last updated
07/12/2010
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