1194123687 NPI number — NORTHERN KENTUCKY UNIVERSITY FOUNDATION INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194123687 NPI number — NORTHERN KENTUCKY UNIVERSITY FOUNDATION INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHERN KENTUCKY UNIVERSITY FOUNDATION INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NURSE ADVOCACY CENTER FOR THE UNDERSERVED
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194123687
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/15/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
206 ALBRIGHT HEALTH CTR
Provider Second Line Business Mailing Address:
NORTHERN KY UNIVERSITY
Provider Business Mailing Address City Name:
NEWPORT
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41099-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-572-5579
Provider Business Mailing Address Fax Number:
859-572-1934

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
206 ALBRIGHT HEALTH CTR
Provider Second Line Business Practice Location Address:
NORTHERN KY UNIVERSITY
Provider Business Practice Location Address City Name:
NEWPORT
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41099-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-572-5579
Provider Business Practice Location Address Fax Number:
859-572-1934
Provider Enumeration Date:
12/15/2014

Additional Information

Authorized Official

Authorized Official Last Name:
PFENDT
Authorized Official First Name:
KRIS
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
859-912-0597

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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