Provider Demographics
NPI:1609251891
Name:JEWISH HOSPITAL LLC
Entity Type:Organization
Organization Name:JEWISH HOSPITAL LLC
Other - Org Name:THE JEWISH HOSPITAL - MERCY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MARKET LEADER &PRESIDENT CENT & CNO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS-HAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-686-3273
Mailing Address - Street 1:PO BOX 636641
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6641
Mailing Address - Country:US
Mailing Address - Phone:513-686-3000
Mailing Address - Fax:
Practice Address - Street 1:4777 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2725
Practice Address - Country:US
Practice Address - Phone:513-686-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEWISH HOSPITAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-29
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit