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Organization

CHILDREN'S HOSPITAL MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JODIANNE BROOMALL (SR DIRECTOR BILLING & CODING SERV)
(513) 636-5047
Entity
Organization

Contact information

Practice address
3333 BURNET AVE, CINCINNATI, OH 45229
(513) 636-4225
(513) 636-2511
Mailing address
3333 BURNET AVE, ML 9013, CINCINNATI, OH 45229-3039
(513) 636-4225
(513) 636-2511

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
282N00000X
General Acute Care Hospital
282NC2000X
Children's Hospital
Primary
291U00000X
Clinical Medical Laboratory
332BD1200X
Dialysis Equipment & Supplies (DME)
3416A0800X
Air Ambulance
3416L0300X
Land Ambulance

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001065780-0001
PA
05
01100527
NY
05
01540871
KY
05
0173998000
WV
05
10198A
SC
05
10454B
SC
05
107519900
FL
05
119659401
TX
05
1473285
OH
05
1640
KY
05
200260070A
IN
05
304488850
MI
05
31000425
KY
05
404488860
MI
05
4183703
NJ
05
55000152
KY
05
56014228
KY
05
700093
KY
Enumeration date
05/16/2006
Last updated
03/03/2026
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