Tri State Primary Care Llc

LBN: Tri State Primary Care Llc
Tri State Primary Care Llc is an health care organization with primary practice located at 4010 N Bend Rd , Cincinnati OH 45211-3500. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Tri State Primary Care Llc can be contacted via phone (513) 598-3500, or through Bernens, Kelly via phone (513) 559-2891.

Contact Information

Primary practice address
4010 N Bend Rd Cincinnati OH 45211-3500
Phone: (513) 598-3500
Fax: (513) 598-3508
Website:
Map and Directions
Authorized official contact:
Name: Bernens, Kelly
Phone: (513) 559-2891

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1225016298
LBN Legal business name Tri State Primary Care Llc
DBA Doing business as
Authorized official Bernens, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2006
Last updated Sep 4th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225016298 NPPES
Ohio MEDICAID 2327682
Ohio MEDICAID 200415580B
Ohio MEDICAID 200415580A
Ohio MEDICAID 65939001

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