Active NPI
St. Aloysius
- Primary Care Clinic/Center
- Cincinnati, OH
National Provider Identifier
1902284094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ST. ALOYSIUS
- Practice address
- 4721 Reading Rd
Cincinnati, OH 45237-6107 - Phone
- (513) 242-7600
- NPI assigned
- May 11, 2015
- Organization subpart
- Yes
- Parent organization
- ST. ALOYSIUS ORPHANAGE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tim Sillaman, MSW
- Title
- Cpo
- Phone
- (513) 242-7600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
4721 Reading Rd
Cincinnati, OH 45237-6107
Mailing address
4721 Reading Rd
Cincinnati, OH 45237-6107
Phone (513) 242-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2475601 | Medicaid | OH | |
| 251738 | Other | OH | CARF |
National Provider Directory
National Provider Directory- Tax ID family
- St Aloysius Orphanage
- Part of
- St Aloysius Orphanage
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Oxford, OH
- NPI 1104220490
-
- Community/Behavioral Health Agency
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- NPI 1699162040
-
- Community/Behavioral Health Agency
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- NPI 1740677228
-
- Community/Behavioral Health Agency
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- NPI 1184002271
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
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- NPI 1447701404
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cincinnati, OH
- NPI 1639127822
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1730573353
-
- Adolescent and Children Mental Health Clinic/Center
- Hamilton, OH
- NPI 1760593396
-
- Community/Behavioral Health Agency
- Hamilton, OH
- NPI 1275920472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431302400000",
"number": "1902284094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 READING RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452376107",
"telephone_number": "513-242-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 READING RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452376107",
"telephone_number": "513-242-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. ALOYSIUS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. ALOYSIUS ORPHANAGE",
"enumeration_date": "2015-05-11",
"last_updated": "2015-05-11",
"status": "A",
"authorized_official_last_name": "SILLAMAN",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "CPO",
"authorized_official_telephone_number": "513-242-7600",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2475601",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARF",
"identifier": "251738",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.