Provider Demographics
NPI:1801364070
Name:COMMUNITY FIRST HEALTH VENTURES
Entity Type:Organization
Organization Name:COMMUNITY FIRST HEALTH VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:
Authorized Official - Last Name:CORNELL
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:513-802-6551
Mailing Address - Street 1:8595 BEECHMONT AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4740
Mailing Address - Country:US
Mailing Address - Phone:513-713-0177
Mailing Address - Fax:
Practice Address - Street 1:8595 BEECHMONT AVE STE 200
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4740
Practice Address - Country:US
Practice Address - Phone:513-713-0177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine