Organization
CHILDREN'S HOSPITAL MEDICAL CENTER
Active
Parent organization
CHILDREN'S HOSPITAL MEDICAL CENTER
Other names
Children's Hospital Medical Center - StarShine Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL MEDICAL CENTER
Authorized official
MRS. JODIANNE BROOMALL (SR DIRECTOR BILLING & CODING SERV)
(513) 636-5047
Entity
Organization
Contact information
Practice address
660 LINCOLN AVE, CINCINNATI, OH 45206-1100
(513) 636-4225
(513) 636-2511
Mailing address
3333 BURNET AVENUE, MAIL LOCATION 5021, CINCINNATI, OH 45229-3039
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2054306
—
OH
Enumeration date
02/02/2007
Last updated
08/05/2020
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