City of Cincinnati
Doing business as Crest Smile Shoppe
Federally qualified health center in Cincinnati, OH, Medicare certification number 361958.
Medicare certification
Provider of Services- CCN
- 361958
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Oct 29, 2009
- Last certification
- Oct 29, 2009
- Address
- 612 Rockdale Avenue
Cincinnati, OH 45229
(513) 352-4072
NPI records for this facility (CCN to NPI Mapping) 2
-
- Public Health Dentistry
- Cincinnati, OH
- NPI 1013063429
Medicare enrollment -
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1245553965
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.