Provider Demographics
NPI:1942801022
Name:CHMC COMMUNITY HEALTH SERVICES NETWORK
Entity Type:Organization
Organization Name:CHMC COMMUNITY HEALTH SERVICES NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR MEDICAL STAFF SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:GUTHRIE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CPMSM, CPCS
Authorized Official - Phone:513-636-9691
Mailing Address - Street 1:CCHMC MEDICAL STAFF SERVICES
Mailing Address - Street 2:3333 BURNET AVE., ML 5021
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-4225
Mailing Address - Fax:513-636-2511
Practice Address - Street 1:9600 CHILDREN DR BLDG D
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-6791
Practice Address - Country:US
Practice Address - Phone:513-336-6700
Practice Address - Fax:513-398-2109
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHMC COMMUNITY HEALTH SERVICES NETWORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-04
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty