NPIMap

Organization Active NPI

Children's Hospital Medical Center

  • Community/Behavioral Health Agency
  • Cincinnati, OH
National Provider Identifier
1902168800
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILDREN'S HOSPITAL MEDICAL CENTER
Practice address
5642 Hamilton Ave
Cincinnati, OH 45224-3114
Phone
(513) 636-4225
Fax
(513) 636-2511
NPI assigned
Jun 15, 2012
Last updated
Aug 5, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jodianne Broomall
Title
Sr Director Billing & Coding Sr
Phone
(513) 636-5047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5642 Hamilton Ave
Cincinnati, OH 45224-3114

Mailing address

3333 Burnet Avenue
Mail Location 5021
Cincinnati, OH 45229-3039
Phone (513) 636-4225

Other identifiers 1

IdentifierTypeStateIssuer
2871576MedicaidOH

Other names 1

  • RSAT FAC COLLEGE HILL Other name

National Provider Directory

National Provider Directory
Tax ID family
CHMC Professional Busin14 organizations share this tax ID, including this one
Part of
CHMC Professional Busin

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1902168800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "MAIL LOCATION 5021",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293039",
            "telephone_number": "513-636-4225",
            "fax_number": "513-636-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5642 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452243114",
            "telephone_number": "513-636-4225",
            "fax_number": "513-636-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2012-06-15",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "BROOMALL",
        "authorized_official_first_name": "JODIANNE",
        "authorized_official_title_or_position": "SR DIRECTOR BILLING & CODING SR",
        "authorized_official_telephone_number": "513-636-5047",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871576",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RSAT FAC COLLEGE HILL",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "RSAT FAC COLLEGE HILL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.