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Organization

UNIVERSITY MEDICAL CENTER INC

Active
Other names
University of Louisville Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES H TAYLOR (PRESIDENT & CEO)
(502) 562-4002
Entity
Organization

Contact information

Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-4002
(562) 562-3333
Mailing address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-4002
(562) 562-3333

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200289
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000054937
BLUE CROSS
KY
01
1048739
PASSPORT HEALTH PLAN
KY
05
200912680A
IN
01
2432182000
PASSPORT ADVANTAGE
KY
01
4017301
MEDICARE ID-TYPE UNSPECIFIED
KY
01
5000046
UNITED HEALTH CARE
KY
01
60054
AETNA
KY
01
61101
HUMANA
KY
01
62308
CIGNA
KY
05
7100054770
KY
Enumeration date
12/13/2006
Last updated
08/04/2010
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