Provider Demographics
NPI:1972544856
Name:JEWISH HOSPITAL OF CINCINNATI, INC.
Entity Type:Organization
Organization Name:JEWISH HOSPITAL OF CINCINNATI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE VP FINANCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:GAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-585-6306
Mailing Address - Street 1:3200 BURNET AVENUE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3019
Mailing Address - Country:US
Mailing Address - Phone:513-585-8069
Mailing Address - Fax:513-585-8070
Practice Address - Street 1:4777 E GALBRAITH ROAD
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1003282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALJEW0016N IPMedicaid
ME169780000Medicaid
NC3600016Medicaid
ALJEW0016N OPMedicaid
GA000105157AMedicaid
IN100035450AMedicaid
OH4366805Medicaid
FL901038600 IPMedicaid
MI304607880 IPMedicaid
AZ829559 OPMedicaid
NJ0015997Medicaid
MN263691300 IPMedicaid
MI404607880 OPMedicaid
FL901038600 OPMedicaid
KY01540566Medicaid
NY02590421Medicaid
AZ829559 IPMedicaid
MI304607880 IPMedicaid
AZ829559 IPMedicaid