1245688951 NPI number — COUNTY OF HAMILTON

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245688951 NPI number — COUNTY OF HAMILTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF HAMILTON
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:
6
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:
1245688951
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
250 WILLIAM HOWARD TAFT RD
Provider Second Line Business Mailing Address:
SECOND FLOOR
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45219-2629
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-946-7800
Provider Business Mailing Address Fax Number:
513-946-7601

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
184 E MCMILLAN ST
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:
45219-2607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-946-7809
Provider Business Practice Location Address Fax Number:
513-946-7601
Provider Enumeration Date:
06/03/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ALLINGHAM
Authorized Official First Name:
PAT
Authorized Official Middle Name:
NESTER
Authorized Official Title or Position:
DIRECTOR OF DISEASE PREVENTION
Authorized Official Telephone Number:
513-946-7809

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X , with the licence number:  251K00000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: FY91581 . This is a "MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0421083 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".