Provider Demographics
NPI:1689618423
Name:UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
Entity Type:Organization
Organization Name:UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
Other - Org Name:ALLIANCE MEDICAL TRANSPORT SERVICE
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 1:3200 BURNET AVENUE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3019
Mailing Address - Country:US
Mailing Address - Phone:513-585-8074
Mailing Address - Fax:513-585-8070
Practice Address - Street 1:3200 BURNET AVENUE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3019
Practice Address - Country:US
Practice Address - Phone:513-585-5001
Practice Address - Fax:513-858-5010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-15
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH310139341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0349331Medicaid
KY55000582Medicaid
OH360003Medicare Oscar/Certification