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Dedicated Ohio Holding, LLC

Non-Pharmacy Dispensing Site in Cincinnati, OH. Organization (NPI-2).

NPI number1407475643
StatusActive
Last updated in NPPESApr 10, 2020

Details

NPI
1407475643
Entity type
Organization (NPI-2)
Legal business name
Dedicated Ohio Holding, LLC
Organization subpart
Yes
Enumeration date
Apr 8, 2020
Certification date
Apr 10, 2020
Last updated
Apr 10, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332900000X Non-Pharmacy Dispensing Site––Yes

Other names

  • Dedicated Senior Medical Center Mt. Airy (Doing Business As)

Practice location

6121 Colerain Ave
Cincinnati, OH 45239

Phone 513-354-2466

Mailing address

1395 Nw 167th St
Miami, FL 33169-5710

Phone 305-628-6117

Authorized official

Mary Chen
Owner
3056286117

Is something wrong?

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Other Non-Pharmacy Dispensing Site providers in Cincinnati, OH

All 6 Non-Pharmacy Dispensing Site providers in Cincinnati · All 38,072 providers in Cincinnati

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