1972544856 NPI number — JEWISH HOSPITAL OF CINCINNATI, INC.

Table of content: (NPI 1972544856)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972544856 NPI number — JEWISH HOSPITAL OF CINCINNATI, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JEWISH HOSPITAL OF CINCINNATI, INC.
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:
1972544856
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/23/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3200 BURNET AVENUE
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:
45229-3019
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-585-8069
Provider Business Mailing Address Fax Number:
513-585-8070

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4777 E GALBRAITH ROAD
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:
45236-2725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-686-3000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HARVEY
Authorized Official First Name:
GAYLA
Authorized Official Middle Name:
Authorized Official Title or Position:
CORPORATE VP FINANCIAL SERVICES
Authorized Official Telephone Number:
513-585-6306

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  1003 , 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: JEW0016N IP , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 169780000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3600016 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: JEW0016N OP , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000105157A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100035450A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4366805 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 901038600 IP , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 304607880 IP , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 829559 OP , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0015997 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 263691300 IP , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 404607880 OP , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 901038600 OP , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01540566 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02590421 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 829559 IP , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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