Provider Demographics
NPI:1154331338
Name:HAMILTON CHOICES, LLC
Entity Type:Organization
Organization Name:HAMILTON CHOICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-765-5500
Mailing Address - Street 1:644 LINN ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45203-1720
Mailing Address - Country:US
Mailing Address - Phone:513-765-5500
Mailing Address - Fax:513-765-5555
Practice Address - Street 1:644 LINN ST
Practice Address - Street 2:SUITE 900
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45203-1720
Practice Address - Country:US
Practice Address - Phone:513-765-5500
Practice Address - Fax:513-765-5555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0531251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH11230OtherMACSIS UPI