Organization
UNIVERSITY MEDICAL CENTER, INC
Active
Other names
DBA University of Lousiville Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK STRACK (CFO)
(502) 561-7213
Entity
Organization
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3634
(502) 562-3222
Mailing address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3634
(502) 562-3222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
100220
KY
282N00000X
General Acute Care Hospital
Primary
100220
KY
363L00000X
Nurse Practitioner
100220
KY
363LA2200X
Adult Health Nurse Practitioner
100220
KY
363LF0000X
Family Nurse Practitioner
100220
KY
390200000X
Student in an Organized Health Care Education/Training Program
100220
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054937
BLUE CROSS
KY
05
—
01022433
—
KY
01
—
1048739
PASSPORT HEALTH PLAN
KY
05
—
200074320A
—
IN
01
—
2432182000
PASSPORT ADVANTAGE
KY
01
—
517041500
US DEPT OF LABOR
KY
01
—
60054
AETNA
KY
01
—
61101
HUMANA
KY
01
—
62308
CIGNA
KY
01
—
87726
UNITED HEALTHCARE
KY
Enumeration date
12/13/2006
Last updated
09/17/2025
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