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OVER-THE-RHINE MEDICENTER LTD. NPI 1548386865


NPI Information

NPI: 1548386865
Provider Name: OVER-THE-RHINE MEDICENTER, LTD.

Doing Business As: OVER-THE-RHINE MEDICENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 36D0903413

Address:
308 READING RD
FL 1B
CINCINNATI, OH
ZIP 45202
Phone: (513) 241-5234
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OVER-THE-RHINE MEDICENTER, LTD. is a clinic center in Cincinnati, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). OVER-THE-RHINE MEDICENTER, LTD. NPI is 1548386865. The provider is registered as an organization entity type.
The provider Is Doing Business As Over-the-rhine Medicenter.

The provider's business location address is:

308 READING RD
FL 1B
CINCINNATI, OH
ZIP 45202-369
Phone: (513) 241-5234
Fax: (513) 241-5241

The provider's authorized official is Douglas E Chicchon .
The authorized official title is Owner-physician and has the following contact phone number (513) 241-5234.

The CLIA number assigned to this NPI record is 36D0903413 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 4/16/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center35035817OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10259581MEDICAIDOHIO
2A74369MEDICARE UPINOHIO
30381923MEDICARE PINOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.