Provider Demographics
NPI:1407539281
Name:CINCINNATI HEALTH NETWORK, INC
Entity type:Organization
Organization Name:CINCINNATI HEALTH NETWORK, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:VANDERHORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-961-0600
Mailing Address - Street 1:40 E MCMICKEN AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-6626
Mailing Address - Country:US
Mailing Address - Phone:513-386-7899
Mailing Address - Fax:513-381-4142
Practice Address - Street 1:40 E. MCMICKEN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202
Practice Address - Country:US
Practice Address - Phone:513-386-7899
Practice Address - Fax:513-381-4142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0034525Medicaid