Organization
CARESTAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL PRICE DO (DIRECTOR OF OPERATIONS)
(800) 616-3718
Entity
Organization
Contact information
Practice address
330MIAMI ST, SEVEN MILE, OH 45060
(513) 726-1322
Mailing address
125 CAMPBELL RD, HARRISON, OH 45030-1402
(513) 367-6602
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PN058001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2288957
—
OH
Enumeration date
02/12/2007
Last updated
08/22/2020
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