MEDICARE: THE CINCINNATI CHRISTIAN COLLEGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency	2812424	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508191123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CINCINNATI CHRISTIAN COLLEGE

Provider Business Mailing Address
First Line	:	3663 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2115
Country	:	US
Telephone Number	:	513-281-2103
Fax Number	:	513-281-2345

Provider Business Practice Location Address
First Line	:	3663 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2115
Country	:	US
Telephone Number	:	513-281-2103
Fax Number	:	513-281-2345

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	A. H. JOHNSON
Credential	:
Telephone Number	:	513-281-2103

Provider Enumeration Date	:	10/15/2009
Last Update Date	:	10/15/2009

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Directions to “THE CINCINNATI CHRISTIAN COLLEGE ” Practice Location

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