EXCLUSIVE SERVICES NPI 1194177360

NPI Information

NPI: 1194177360
Provider Name: EXCLUSIVE SERVICES
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
11134 LUSCHEK DR
BLUE ASH, OH
ZIP 45241
Phone: (513) 827-9273
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EXCLUSIVE SERVICES is a primary care clinic center in Blue Ash, OH. EXCLUSIVE SERVICES NPI is 1194177360. The provider is registered as an organization entity type.

The provider's business location address is:

11134 LUSCHEK DR
BLUE ASH, OH
ZIP 45241-434
Phone: (513) 827-9273

The provider's authorized official is Tracy Rawls Msw, Licdc 07 .
The authorized official title is Ceo/founder and has the following contact phone number (513) 827-9273.

The enumeration date for this NPI number is 7/12/2016 and was last updated on 7/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H259510	MEDICARE UPIN	OHIO
2	CL02255465003	OTHER	OHIO	OHIO PHARMACY BOARD LICENSE
3	0064132	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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