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Organization

CHILDREN'S HOSPITAL MEDICAL CENTER

Active
Parent organization
CHILDREN'S HOSPITAL MEDICAL CENTER
Other names
RSAT FAC COLLEGE HILL
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHILDREN'S HOSPITAL MEDICAL CENTER
Authorized official
MRS. JODIANNE BROOMALL (SR DIRECTOR BILLING & CODING SR)
(513) 636-5047
Entity
Organization

Contact information

Practice address
5642 HAMILTON AVE, CINCINNATI, OH 45224-3114
(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
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2871576
OH
Enumeration date
06/15/2012
Last updated
08/05/2020
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