Active NPI
Fort Hamilton Hospital
- Psychiatric Hospital Unit
- Hamilton, OH
National Provider Identifier
1063447167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 1117
- Legal business name
- FORT HAMILTON HOSPITAL
- Practice address
- 630 Eaton Avenue
Hamilton, OH 45013-2767 - Phone
- (513) 585-8069
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dann S Hotelling
- Title
- Vice President of Finance
- Phone
- (937) 762-1644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 1117 | OH | Primary |
Addresses
Primary practice location
630 Eaton Avenue
Hamilton, OH 45013-2767
Mailing address
2110 Leiter Rd
Miamisburg, OH 45342-3660
Phone (937) 914-7601
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016142002 | Medicaid | MO | |
| 9126813 00 | Medicaid | FL | |
| 016142002 | Medicaid | LA | |
| 01884633 | Medicaid | NY | |
| 01540145 | Medicaid | KY | |
| 2875330 | Medicaid | OH | |
| 3600132 | Medicaid | NC | |
| 372243 | Medicaid | AZ | |
| 40 4642389 | Medicaid | MI | |
| 431930200 | Medicaid | ME | |
| XHSP32617 | Medicaid | CA | |
| 154913105 | Medicaid | AR | |
| 4181204 | Medicaid | NJ | |
| HXSP42617 | Medicaid | CA | |
| 000472337X | Medicaid | GA | |
| 100275840A | Medicaid | IN | |
| 30 4642370 | Medicaid | MI |
Other names 1
- The Fort Hamilton Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586131200000",
"number": "1063447167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 LEITER RD",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453423660",
"telephone_number": "937-914-7601",
"fax_number": "937-522-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 EATON AVENUE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450132767",
"telephone_number": "513-585-8069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT HAMILTON HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A",
"authorized_official_last_name": "HOTELLING",
"authorized_official_first_name": "DANN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
"authorized_official_telephone_number": "937-762-1644"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "OH",
"license": "1117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016142002",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9126813 00",
"state": "FL"
},
{
"code": "05",
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"issuer": null,
"identifier": "016142002",
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},
{
"code": "05",
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"issuer": null,
"identifier": "01884633",
"state": "NY"
},
{
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"issuer": null,
"identifier": "01540145",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2875330",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3600132",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372243",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40 4642389",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431930200",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XHSP32617",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154913105",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4181204",
"state": "NJ"
},
{
"code": "05",
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"issuer": null,
"identifier": "HXSP42617",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000472337X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100275840A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30 4642370",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Fort Hamilton Hospital",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "The Fort Hamilton Hospital",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.