Provider Demographics
NPI:1932158466
Name:CHRIST HOSPITAL
Entity type:Organization
Organization Name:CHRIST HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHERPENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-263-1572
Mailing Address - Street 1:2139 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2906
Mailing Address - Country:US
Mailing Address - Phone:513-263-9714
Mailing Address - Fax:513-263-1584
Practice Address - Street 1:2139 AUBURN AVENUE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2906
Practice Address - Country:US
Practice Address - Phone:513-585-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRIST HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-10
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1187273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL092549700Medicaid
IN100275790AMedicaid
LA1749206Medicaid
CAXHSP32652Medicaid
NC3600163Medicaid
GA000155262XMedicaid
SC10758AMedicaid
MI304608091Medicaid
ALHOS0163NMedicaid
CT003091475Medicaid
CAXHSP42652Medicaid
PA0009093910002Medicaid
NY01304829Medicaid
KY01540210Medicaid
OH1485503Medicaid
MI404608108Medicaid
AZ430629Medicaid
MN760053400Medicaid
ALHOS0163NMedicaid