Organization
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC
Active
Organization
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC
Active
Other names
Kidney Disease Program / Louisville Renal Dialysis Facility
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELEANOR D LEDERER M.D. (CHIEF, DIVISION OF NEPHROLOGY)
(502) 852-5757
Entity
Organization
Contact information
Practice address
615 S PRESTON ST, LOUISVILLE, KY 40202-1715
(502) 852-5757
(502) 852-4039
Mailing address
615 S PRESTON ST, LOUISVILLE, KY 40202-1715
(502) 852-5757
(502) 852-4039
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
182501
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112462
BCBS 12 DIGIT PROVIDER #
KY
01
—
000003108H
HUMANA HEALTH CARE NUMBER
KY
01
—
004541476
AETNA PROVIDER #
KY
01
—
100003040A
INDIANA MEDICAID
IN
01
—
350
BLUE CROSS NUMBER
KY
05
—
39090030
—
KY
05
—
50001023
—
KY
01
—
5416V4981
AHDS PROVIDER #
KY
Enumeration date
07/01/2005
Last updated
10/07/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up