Healthcare Provider Details

I. General information

NPI: 1477867208
Provider Name (Legal Business Name): THE CHRIST HOSPITAL HEALTH NETWORK URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2010
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 RED BANK RD STE 110
CINCINNATI OH
45227-2177
US

IV. Provider business mailing address

2139 AUBURN AVE # 4-9
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-564-1366
  • Fax: 513-564-1366
Mailing address:
  • Phone: 513-351-9900
  • Fax: 513-366-4480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VICTOR DIPILLA
Title or Position: VP & CHIEF BUSINESS OFFICER
Credential:
Phone: 513-585-1295