1013938638 NPI number — CHRIST HOSPITAL

Table of content: (NPI 1013938638)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013938638 NPI number — CHRIST HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRIST HOSPITAL
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:
THE CHRIST HOSPITAL APOTHECARY
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:
1013938638
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/10/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2139 AUBURN AVENUE
Provider Second Line Business Mailing Address:
SUITE 1005
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-585-0059
Provider Business Mailing Address Fax Number:
513-585-0529

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2139 AUBURN AVENUE
Provider Second Line Business Practice Location Address:
SUITE 1005
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-585-0059
Provider Business Practice Location Address Fax Number:
513-585-0529
Provider Enumeration Date:
07/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KUEHNE
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
ANDREW
Authorized Official Title or Position:
PHARMACY MANAGER
Authorized Official Telephone Number:
513-585-0059

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 020986450 . This is a "STATE LICENSE NUMBER" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 2017909 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3638840 . This is a "NCPDP NUMBER" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com