1588754345 NPI number — ST. MARGARET HALL

Table of content: (NPI 1588754345)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588754345 NPI number — ST. MARGARET HALL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. MARGARET HALL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588754345
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1960 MADISON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45206-1828
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-751-5880
Provider Business Mailing Address Fax Number:
513-751-9813

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1960 MADISON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45206-1828
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-751-5880
Provider Business Practice Location Address Fax Number:
513-751-9813
Provider Enumeration Date:
10/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MCNAMARA
Authorized Official First Name:
SISTER NORAH
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
513-751-5880

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , with the licence number:  620017 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 314000000X , with the licence number: 620017 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0680071 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".