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NPI Code Detail

MEDICARE: ST. ALOYSIUS ORPHANAGE

MEDICARE: ST. ALOYSIUS ORPHANAGE
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)341OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110152OTHEROHMACSIS UPI

General Provider Information

NPI Number : 1639127822
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. ALOYSIUS ORPHANAGE
Provider Business Mailing Address
First Line : 4721 READING RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-6107
Country : US
Telephone Number : 513-242-7600
Fax Number : 513-242-2845
Provider Business Practice Location Address
First Line : 4721 READING RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-6107
Country : US
Telephone Number : 513-242-7600
Fax Number : 513-242-2845
Authorized Official
Title or Position : QI DIRECTOR
Name : MRS. CARRIE K HAMPTON
Credential :
Telephone Number : 513-242-7600
Provider Enumeration Date : 05/04/2006
Last Update Date : 08/22/2020

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Directions to “ST. ALOYSIUS ORPHANAGE ” Practice Location

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