1801840434 NPI number — UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC

Table of content: (NPI 1801840434)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801840434 NPI number — UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC
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:
Provider Other Organization Name Type Code:
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:
1801840434
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 636256
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45263-6256
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-245-3600
Provider Business Mailing Address Fax Number:
513-245-3672

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3188 BELLEVUE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45219-2369
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-584-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HINDS
Authorized Official First Name:
HUGH
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE VP/CFO
Authorized Official Telephone Number:
513-585-8720

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RN0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: CC2555 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 300077936 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 65929291 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100202140 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100191190 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100460890 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 95900296 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100916130 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100187660 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2036602 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100458380 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 201071350 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100641580 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 78901360 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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