Provider Demographics
NPI:1669195418
Name:CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER
Entity type:Organization
Organization Name:CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR BONE MARROW TRANSPLANTATIO
Authorized Official - Prefix:DR
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:MB BS, PHD, MRCP
Authorized Official - Phone:513-636-1371
Mailing Address - Street 1:3333 BURNET AVENUE
Mailing Address - Street 2:11027
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229
Mailing Address - Country:US
Mailing Address - Phone:513-808-0930
Mailing Address - Fax:513-803-1969
Practice Address - Street 1:3333 BURNET AVENUE
Practice Address - Street 2:11027
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-803-4738
Practice Address - Fax:513-803-1969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty