Provider Demographics
NPI:1407539281
Name:CINCINNATI HEALTH NETWORK, INC
Entity Type:Organization
Organization Name:CINCINNATI HEALTH NETWORK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:VANDERHORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-961-0600
Mailing Address - Street 1:2825 BURNET AVE STE 232-234
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219
Mailing Address - Country:US
Mailing Address - Phone:513-961-0600
Mailing Address - Fax:513-961-0643
Practice Address - Street 1:40 E. MCMICKEN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202
Practice Address - Country:US
Practice Address - Phone:513-961-0600
Practice Address - Fax:513-961-0643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy