| Ft Hamilton Psychiatric Services | |
|
630 Eaton Ave 2 West Hamilton OH 45013-2767 | |
| (513) 867-4169 | |
| (513) 867-7990 |
| Full Name | Ft Hamilton Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 630 Eaton Ave, Hamilton, Ohio |
| Authorized Official Name and Position | Daniel D Haibach (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 9375583222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ft Hamilton Psychiatric Services 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 384-4838 | Ft Hamilton Psychiatric Services 630 Eaton Ave 2 West Hamilton OH 45013-2767 Ph: (513) 867-4169 |
| NPI Number | 1194001420 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194001420 | NPI | - | NPPES |
| 2639630 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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