Provider Demographics
NPI:1881671030
Name:DEACONESS HOSPITAL OF CINCINNATI OH
Entity type:Organization
Organization Name:DEACONESS HOSPITAL OF CINCINNATI OH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MCADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-559-2710
Mailing Address - Street 1:311 STRAIGHT ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-1018
Mailing Address - Country:US
Mailing Address - Phone:513-559-2100
Mailing Address - Fax:
Practice Address - Street 1:311 STRAIGHT ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-1018
Practice Address - Country:US
Practice Address - Phone:513-559-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1190282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000003103OtherANTHEM
5020003OtherUNITED BEHAVIOR HEALTH
OH604830OtherBUCKEYE
KY1540723Medicaid
OH2054502Medicaid
OH271835OtherAMERIGROUP
5020003OtherUNITED BEHAVIOR HEALTH