1689618423 NPI number — UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC

Table of content: (NPI 1689618423)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689618423 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:
6
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:
1689618423
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:
3200 BURNET AVENUE
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:
45229-3019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-585-5001
Provider Business Practice Location Address Fax Number:
513-858-5010
Provider Enumeration Date:
06/15/2006

Additional Information

Authorized Official

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

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  310139 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0349331 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 55000582 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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