1609856525 NPI number — SEVEN HILLS OB-GYN ASSOCIATES LLC

Table of content: (NPI 1609856525)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609856525 NPI number — SEVEN HILLS OB-GYN ASSOCIATES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SEVEN HILLS OB-GYN ASSOCIATES LLC
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:
SEVEN HILLS WOMEN'S HEALTH CENTERS
Provider Other Organization Name Type Code:
3
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:
1609856525
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/18/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 772437
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DETROIT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48277-2437
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-575-7304
Provider Business Mailing Address Fax Number:
317-575-7333

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2060 READING RD STE 150
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:
45202-1488
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-721-3200
Provider Business Practice Location Address Fax Number:
513-639-3186
Provider Enumeration Date:
01/18/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JARED
Authorized Official First Name:
MICHELLE
Authorized Official Middle Name:
E
Authorized Official Title or Position:
DIRECTOR - RCM INTERGRATIONS
Authorized Official Telephone Number:
612-276-2190

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2085R0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0204X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LW0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LX0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 364S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 7100791390 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2066071 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100737810 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100825150 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100661550 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100825150 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0472765 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".