Organization
CHILDREN'S HOSPITAL MEDICAL CENTER
Active
Parent organization
CHILDREN'S HOSPITAL MEDICAL CENTER
Other names
Children's Hospital Medical Center - Home Health DME
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
3337 SOLUTIONS CENTER, BOX 773337, CHICAGO, IL 60677-3003
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173998003
—
WV
05
—
200908880A
—
IN
05
—
2800026
—
OH
05
—
45013133
—
KY
05
—
4582369
—
TN
05
—
874893880
—
MI
05
—
90272287
—
KY
05
—
DM1193
—
SC
Enumeration date
02/02/2007
Last updated
08/05/2020
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