Provider Demographics
NPI:1518911338
Name:UNIVERSITY OF KENTUCKY
Entity Type:Organization
Organization Name:UNIVERSITY OF KENTUCKY
Other - Org Name:UNIVERSITY OF KENTUCKY HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:EXEC. VP FOR HEALTH AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:F
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-323-5126
Mailing Address - Street 1:2317 ALUMNI PARK PLZ STE 150
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-4291
Mailing Address - Country:US
Mailing Address - Phone:859-257-9521
Mailing Address - Fax:859-257-1773
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-5470
Practice Address - Fax:859-323-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100121282N00000X
341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009811109Medicaid
WV0174042000Medicaid
IN200519170AMedicaid
ALHOS0067NMedicaid
TN000000054948Medicaid
KY92000058Medicaid
IN100069710AMedicaid
TN4025160Medicaid
000000054948OtherANTHEM
000000061999OtherANTHEM LAB
KY01013978Medicaid
5000045OtherUNITED HEALTHCARE
KY55034102Medicaid
WV8005023000Medicaid
GA000176987XMedicaid