Healthcare Provider Details

I. General information

NPI: 1669195418
Provider Name (Legal Business Name): CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVENUE 11027
CINCINNATI OH
45229
US

IV. Provider business mailing address

3333 BURNET AVENUE 11027
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-803-4738
  • Fax: 513-803-1969
Mailing address:
  • Phone: 513-808-0930
  • Fax: 513-803-1969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: DR. STELLA M DAVIES
Title or Position: DIRECTOR BONE MARROW TRANSPLANTATIO
Credential: MB BS, PHD, MRCP
Phone: 513-636-1371