Provider Demographics
NPI:1851740690
Name:CENTRAL COMMUNITY HEALTH BOARD OF HAMILTON COUNTY, INC.
Entity Type:Organization
Organization Name:CENTRAL COMMUNITY HEALTH BOARD OF HAMILTON COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KINSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:513-302-9302
Mailing Address - Street 1:3900 ROSE HILL AVE APT 802B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-1493
Mailing Address - Country:US
Mailing Address - Phone:513-302-9302
Mailing Address - Fax:
Practice Address - Street 1:3900 ROSE HILL AVE APT 802B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-1493
Practice Address - Country:US
Practice Address - Phone:513-302-9302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-11
Last Update Date:2016-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN242976261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone