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NPI Code Detail

MEDICARE: ST. ALOYSIUS ORPHANAGE

MEDICARE: ST. ALOYSIUS ORPHANAGE
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
1261QM0855XAdolescent and Children Mental Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110675OTHEROHMACSIS UPID

General Provider Information

NPI Number : 1760593396
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. ALOYSIUS ORPHANAGE
Provider Business Mailing Address
First Line : 621 S ERIE HWY
Second Line :
City : HAMILTON
State : OH
Zip : 45011-4315
Country : US
Telephone Number : 513-737-3400
Fax Number :
Provider Business Practice Location Address
First Line : 621 S ERIE HWY
Second Line :
City : HAMILTON
State : OH
Zip : 45011-4315
Country : US
Telephone Number : 513-737-3400
Fax Number :
Authorized Official
Title or Position : BILLING SUPERVISOR
Name : MS. MICHELLE M VENTURA
Credential :
Telephone Number : 513-242-7600
Provider Enumeration Date : 08/31/2006
Last Update Date : 08/22/2020

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Directions to “ST. ALOYSIUS ORPHANAGE ” Practice Location

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