Provider Demographics
NPI:1326198011
Name:FIRST CINCINNATI PHYSIC
Entity Type:Organization
Organization Name:FIRST CINCINNATI PHYSIC
Other - Org Name:URGENT CARE OF HAMILTON
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:H
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-896-9700
Mailing Address - Street 1:ONE NORTH BROOKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-1209
Mailing Address - Country:US
Mailing Address - Phone:513-896-9700
Mailing Address - Fax:513-896-4565
Practice Address - Street 1:ONE NORTH BROOKWOOD AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-1209
Practice Address - Country:US
Practice Address - Phone:513-896-9700
Practice Address - Fax:513-896-4565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 037603261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0270040Medicaid
OHFI9922821Medicare PIN
B77485Medicare UPIN