Provider Demographics
NPI:1174514749
Name:MCH OF OHIO, INC.
Entity type:Organization
Organization Name:MCH OF OHIO, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:TRUDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-559-2337
Mailing Address - Street 1:311 STRAIGHT STREET
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219
Mailing Address - Country:US
Mailing Address - Phone:513-559-2461
Mailing Address - Fax:513-475-5253
Practice Address - Street 1:7700 PARAGON RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4050
Practice Address - Country:US
Practice Address - Phone:937-438-1616
Practice Address - Fax:937-438-1618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
367488Medicare ID - Type UnspecifiedPROVIDER NUMBER