1922043918 NPI number — UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC

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 1922043918 NPI number — UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF CINCINNATI MEDICAL CENTER, 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:
1922043918
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/16/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3200 BURNET AVENUE
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:
45229-3019
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-585-8074
Provider Business Mailing Address Fax Number:
513-585-8070

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
234 GOODMAN STREET
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:
45219-2316
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:
06/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HINDS
Authorized Official First Name:
HUGH
Authorized Official Middle Name:
R
Authorized Official Title or Position:
SENIOR VP
Authorized Official Telephone Number:
513-585-8720

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0590497 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 09275371 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 911361400 OP , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000883726X OP , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 874661IP , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 68931522 IP , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: UNI0003OP , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP31361 IP , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 911361400 IP , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 159639105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 874661 OP , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100369340A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 68931522 OP , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000883726X IP , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200258670 A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: UNI0003IP , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP41361 OP , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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