Organization
CITY OF CINCINNATI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOBLE MASERU PHD,MPH (HEALTH COMMISSIONER)
(513) 357-7280
Entity
Organization
Contact information
Practice address
3101 BURNET AVE, CINCINNATI, OH 45229-3014
(513) 357-7280
(513) 375-7477
Mailing address
3101 BURNET AVE, CINCINNATI, OH 45229-3014
(513) 357-7280
(513) 375-7477
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
291U00000X
Clinical Medical Laboratory
36D0894909
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3024328
—
OH
Enumeration date
03/09/2010
Last updated
08/10/2011
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