Healthcare Provider Details

I. General information

NPI: 1023637774
Provider Name (Legal Business Name): CHMC COMMUNITY HEALTH SERVICES NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 10/23/2020
Certification Date: 10/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7502 STATE RD STE 3350
CINCINNATI OH
45255-2801
US

IV. Provider business mailing address

3333 BURNET AVE. ML 5021
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-231-3345
  • Fax: 513-231-6739
Mailing address:
  • Phone: 513-636-4225
  • Fax: 513-636-2511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE E. GUTHRIE
Title or Position: DIRECTOR MEDICAL STAFF SERVICES
Credential: MS, CPMSM, CPCS
Phone: 513-636-9691