Provider Demographics
NPI:1174867881
Name:THE HEALTHCARE CONNECTION, INC
Entity Type:Organization
Organization Name:THE HEALTHCARE CONNECTION, INC
Other - Org Name:PRINCETON CITY SCHOOL DISTRICT SCHOOL-BASED HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:J
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-483-3080
Mailing Address - Street 1:100 VIKING WAY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-1139
Mailing Address - Country:US
Mailing Address - Phone:513-864-1545
Mailing Address - Fax:513-552-8511
Practice Address - Street 1:100 VIKING WAY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-1139
Practice Address - Country:US
Practice Address - Phone:513-864-1545
Practice Address - Fax:513-552-8511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0077085Medicaid
OH1174867881OtherNPI