1518911338 NPI number — UNIVERSITY OF KENTUCKY

Table of content: (NPI 1518911338)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518911338 NPI number — UNIVERSITY OF KENTUCKY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF KENTUCKY
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:
UNIVERSITY OF KENTUCKY HOSPITAL
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:
1518911338
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/14/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2317 ALUMNI PARK PLZ STE 150
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40517-4291
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-257-9521
Provider Business Mailing Address Fax Number:
859-257-1773

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 ROSE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-323-5470
Provider Business Practice Location Address Fax Number:
859-323-2044
Provider Enumeration Date:
05/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NEWMAN
Authorized Official First Name:
MARK
Authorized Official Middle Name:
F
Authorized Official Title or Position:
EXEC. VP FOR HEALTH AFFAIRS
Authorized Official Telephone Number:
859-323-5126

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  100121 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 009811109 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0174042000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200519170A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: HOS0067N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000054948 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 92000058 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100069710A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4025160 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000054948 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000061999 . This is a "ANTHEM LAB" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01013978 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5000045 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 55034102 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8005023000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000176987X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 090421000 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com