1780633289 NPI number — CHRIST HOSPITAL

Table of content: (NPI 1780633289)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780633289 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:
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:
1780633289
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2139 AUBURN AVE
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:
45219-2606
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-263-9714
Provider Business Mailing Address Fax Number:
513-263-1584

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2139 AUBURN AVE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-585-2000
Provider Business Practice Location Address Fax Number:
513-585-3355
Provider Enumeration Date:
05/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHERPENBERG
Authorized Official First Name:
THEODORE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
513-263-1572

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  1187 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 1187 , 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: 100275790A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10758A , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 092549700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1780633289 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01304829 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1749206 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1780633289 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: Q034241 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 003206326A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 04357035 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1780633289 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000909391-0002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01540210 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10026825100 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1485503 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1780633289-246192 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3600163 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 107498500 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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