Organization
MERCY EXPRESS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VENITA MILBURN RMA (CREDENTIALING MANAGER)
(513) 981-6643
Entity
Organization
Contact information
Practice address
5440 DIXIE HWY, SUITE G, FAIRFIELD, OH 45014-7488
(513) 829-2161
(513) 829-2565
Mailing address
4600 MCAULEY PL FL 6, MAIL DROP 05047, CINCINNATI, OH 45242-4733
(513) 981-6643
(513) 981-6176
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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