Provider Demographics
NPI:1043383417
Name:UCPHA, INC.
Entity Type:Organization
Organization Name:UCPHA, INC.
Other - Org Name:UNIVERSITY POINTE SURGICAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:R
Authorized Official - Last Name:HINDS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:513-585-8720
Mailing Address - Street 1:7750 DISCOVERY DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069
Mailing Address - Country:US
Mailing Address - Phone:513-475-8300
Mailing Address - Fax:
Practice Address - Street 1:7750 DISCOVERY DRIVE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069
Practice Address - Country:US
Practice Address - Phone:513-475-8300
Practice Address - Fax:513-475-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1460282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2536107Medicaid
OH36 0271Medicare ID - Type Unspecified