Organization
CAREBRIDGE PRIMARY CARE
Active
Parent organization
CAREBRIDGE PALLIATIVE SERVICES INC
Other names
CAREBRIDGE PRIMARY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAREBRIDGE PALLIATIVE SERVICES INC
Authorized official
ANGELA BOWMAN (CREDENTIALING SPECIALIST)
(513) 528-8779
Entity
Organization
Contact information
Practice address
7625 CAMARGO RD, CINCINNATI, OH 45243-3107
(513) 528-8150
Mailing address
7625 CAMARGO RD, CINCINNATI, OH 45243-3107
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3031614
—
OH
Enumeration date
04/09/2019
Last updated
06/11/2019
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