EVENDALE MEDICAL CENTER, LLC (NPI# 1205885803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205885803 |
| Entity Type | Organization |
| Organization Name | EVENDALE MEDICAL CENTER, LLC |
| Practice Address |
3155 Glendale Milford Rd Cincinnati OH 45241-3134 |
| Practice Telephone | 5134542222 |
| Mailing Telephone | 5134542222 |
| Mailing Fax Number | 5134542500 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2011-02-24 |
| Authorized Official Name | KELVIN G HANGER (CAMPUS ADMINISTRATOR) |
| Authorized Official Telephone | 5134542222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2505435 | 05 | |
| OH | 2877650 | 05 |
| Street Address |
3155 GLENDALE MILFORD RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45241-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018804 | The Good Samaritan Hospital of Cincinnati, Ohio | General Acute Care Hospital | 3155 Glendale Milford Rd, Cincinnati, OH 45241-3134 | 2020-09-16 |
| 1740893320 | The Good Samaritan Hospital of Cincinnati, Ohio | General Acute Care Hospital | 3155 Glendale Milford Rd, Cincinnati, OH 45241-3134 | 2020-08-25 |
| 1568027076 | Trihealth Hospital, Inc | General Acute Care Hospital | 3155 Glendale Milford Rd, Cincinnati, OH 45241-3134 | 2019-05-09 |
| 1053655738 | Trihealth Hospital, Inc | General Acute Care Hospital | 3155 Glendale Milford Rd, Cincinnati, OH 45241-3134 | 2012-11-19 |
| 1942472725 | Tri-state Pain Management Service Inc | Pain Medicine | 3155 Glendale Milford Rd, Cincinnati, OH 45241-3134 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891348512 | Ultimate Rehab, Ltd. | Physical Therapy Assistant | 11305 Reed Hartman Hwy., Ste. 226, Cincinnati, OH 45241 | 2019-07-22 |
| 1548787682 | Brian Eversole | Community Health Worker | 11156 Canal Road, #a, Cincinnati, OH 45241 | 2017-08-29 |
| 1013464544 | Emily Niehaus | Specialist/Technologist | 10040 Bennington Drive, Cincinnati, OH 45241 | 2016-09-01 |
| 1003274523 | Samuel Cogen | Specialist/Technologist | 4480 Classic Dr, Blue Ash, OH 45241 | 2016-01-29 |
| 1023420940 | Suzette Kies | Physical Therapist | 3900 Cottingham Drive, Princeton City Schools, Cincinnati, OH 45241 | 2014-05-27 |
| 1457770703 | Timothy Craig Wylie | Podiatrist | 10475 Reading Rd Ste 308, Cincinnati, OH 45241 | 2014-04-15 |
| 1295150027 | Lisa Brackmann | Speech-Language Pathologist | 11150 Maple Avenue, Cincinnati, Ohio, OH 45241 | 2014-03-04 |
| 1740602416 | Karyn Bransford | Nurse Anesthetist, Certified Registered | 9306 Brandy Wine Ln, West Chester, OH 45241 | 2014-01-14 |
| 1144586868 | Nichole Sherrie Hickman | Counselor | 300 E Business Way Ste 200, Cincinnati, OH 45241 | 2012-04-06 |
| 1497044846 | Garrett Alexander Seghi | Dentist | 11438 Lebanon Pike (rt.42), Suite # F, Cincinnati, OH 45241 | 2011-04-06 |
| Find all providers in zip 45241 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588062905 | Shakhnoza Abdurakhimova | General Acute Care Hospital | 7720 Montgomery Rd Ste 200, Cincinnati, OH 45236-4295 | 2014-12-17 |
| 1932516283 | Cincinnati Vamc | General Acute Care Hospital | 1000 S Fort Thomas Avenue, Cincinnati, WI 41075-2305 | 2014-07-18 |
| 1215279021 | Mercy Hospitals West | General Acute Care Hospital | 3300 Mercy West Boulevard, Cincinnati, OH 45211 | 2013-03-19 |
| 1770766008 | Cincinnati Va Medical Center | General Acute Care Hospital | 235 Stetson St, #402, Cincinnati, OH 45219-2378 | 2007-12-10 |
| 1972544856 | Jewish Hospital of Cincinnati, Inc. | General Acute Care Hospital | 4777 E Galbraith Road, Cincinnati, OH 45236-2725 | 2006-06-09 |
| 1962018804 | The Good Samaritan Hospital of Cincinnati, Ohio | General Acute Care Hospital | 3155 Glendale Milford Rd, Cincinnati, OH 45241-3134 | 2020-09-16 |
| 1740893320 | The Good Samaritan Hospital of Cincinnati, Ohio | General Acute Care Hospital | 3155 Glendale Milford Rd, Cincinnati, OH 45241-3134 | 2020-08-25 |
| 1568027076 | Trihealth Hospital, Inc | General Acute Care Hospital | 3155 Glendale Milford Rd, Cincinnati, OH 45241-3134 | 2019-05-09 |
| 1760901029 | Christ Hospital | General Acute Care Hospital | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2017-09-18 |
| 1154857340 | Trihealth | General Acute Care Hospital | 10600 Montgomery Rd, Cincinnati, OH 45242-4463 | 2017-05-07 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45241 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.