Provider Demographics
NPI:1518329853
Name:UNIVERSITY OF CINCINATI COLLEGE OF MEDICINE
Entity Type:Organization
Organization Name:UNIVERSITY OF CINCINATI COLLEGE OF MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DEAN, OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:F
Authorized Official - Last Name:HOLSING
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:513-558-1899
Mailing Address - Street 1:260 STETSON ST
Mailing Address - Street 2:3RD FLOOR, SUITE 3312
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2498
Mailing Address - Country:US
Mailing Address - Phone:513-558-4413
Mailing Address - Fax:
Practice Address - Street 1:260 STETSON ST
Practice Address - Street 2:3RD FLOOR, SUITE 3312
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2498
Practice Address - Country:US
Practice Address - Phone:513-558-4413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH80-000040261QM0801X, 273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)