Healthcare Provider Details

I. General information

NPI: 1801702139
Provider Name (Legal Business Name): CINCINNATI HEALTH NETWORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 DUNLAP ST
CINCINNATI OH
45202
US

IV. Provider business mailing address

40 E MCMICKEN AVE
CINCINNATI OH
45202-6625
US

V. Phone/Fax

Practice location:
  • Phone: 513-961-0600
  • Fax: 513-961-0643
Mailing address:
  • Phone: 513-961-0600
  • Fax: 513-961-0643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: AUSTIN MADDOX
Title or Position: CFO
Credential:
Phone: 513-961-0600