MEDICARE: BETHESDA HOSPITAL, INC

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
1	367A00000X	Advanced Practice Midwife

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598710881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETHESDA HOSPITAL, INC

Provider Business Mailing Address
First Line	:	PO BOX 633370
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-3370
Country	:	US
Telephone Number	:	513-569-5027
Fax Number	:	513-569-5199

Provider Business Practice Location Address
First Line	:	3440 BURNET AVE
Second Line	:	STE. 120
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2833
Country	:	US
Telephone Number	:	513-751-5900
Fax Number	:	513-487-4590

Authorized Official
Title or Position	:	SR VICE PRESIDENT
Name	:	DONNA NIENABER
Credential	:
Telephone Number	:	513-862-1400

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	04/18/2013

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Directions to “BETHESDA HOSPITAL, INC ” Practice Location

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