1922043918 NPI number — UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC

Table of content: (NPI 1922043918)

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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