Provider Demographics
NPI:1013192418
Name:PREXUS CLINICAL SERVICES, LLC
Entity Type:Organization
Organization Name:PREXUS CLINICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FINNEGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-454-1428
Mailing Address - Street 1:225 PICTORIA DR STE 800
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-1615
Mailing Address - Country:US
Mailing Address - Phone:513-454-1414
Mailing Address - Fax:
Practice Address - Street 1:225 PICTORIA DR STE 800
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-1615
Practice Address - Country:US
Practice Address - Phone:513-454-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREXUS HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-03
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty