Organization
CHILDREN'S HOSPITAL MEDICAL CENTER
Active
Parent organization
CHILDREN'S HOSPITAL MEDICAL CENTER
Other names
Cincinnati Children's Liberty Campus
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
7777 YANKEE RD, LIBERTY TOWNSHIP, OH 45044-3500
(513) 803-9600
(513) 636-2511
Mailing address
3333 BURNET AVE, MLC 5021, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02-2514850
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473285
—
OH
Enumeration date
06/17/2015
Last updated
08/05/2020
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