Provider Demographics
NPI:1780633289
Name:CHRIST HOSPITAL
Entity Type:Organization
Organization Name:CHRIST HOSPITAL
Other - Org Name:THE CHRIST HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHERPENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-263-1572
Mailing Address - Street 1:2139 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2606
Mailing Address - Country:US
Mailing Address - Phone:513-263-9714
Mailing Address - Fax:513-263-1584
Practice Address - Street 1:2139 AUBURN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219
Practice Address - Country:US
Practice Address - Phone:513-585-2000
Practice Address - Fax:513-585-3355
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRIST HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-10
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1187282N00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100275790AMedicaid
SC10758AMedicaid
FL092549700Medicaid
MT1780633289Medicaid
NY01304829Medicaid
LA1749206Medicaid
MI1780633289Medicaid
TNQ034241Medicaid
GA003206326AMedicaid
NM04357035Medicaid
WV1780633289Medicaid
PA000909391-0002Medicaid
KY01540210Medicaid
NE10026825100Medicaid
OH1485503Medicaid
OR1780633289-246192Medicaid
NC3600163Medicaid
CAXHSP32652Medicaid
IN100275790AMedicaid
CT003091478Medicaid