Organization
CINCINNATI HEALTH CARE GROUP PSC
Active
Parent organization
CINCINNATI HEALTHCARE GROUP PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CINCINNATI HEALTHCARE GROUP PSC
Authorized official
MR. KEN FOLZ (CHIEF OPERATING OFFICER)
(859) 957-1080
Entity
Organization
Contact information
Practice address
525 ALEXANDRIA PIKE, SUITE 300, SOUTHGATE, KY 41071-3290
(859) 957-1080
Mailing address
334 THOMAS MORE PKWY, SUITE 200, CRESTVIEW HILLS, KY 41017-3464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27527
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD2174
RAILROAD MEDICARE
KY
01
—
CD2176
RAILROAD MEDICARE
KY
01
—
CD2178
RAILROAD MEDICARE
KY
01
—
CD2181
RAILROAD MEDICARE
KY
Enumeration date
07/09/2006
Last updated
12/18/2007
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