Provider Demographics
NPI:1730121104
Name:UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
Entity Type:Organization
Organization Name:UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
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 AVE
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:513-585-7457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1189273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0590497Medicaid
LA09275371Medicaid
AZ874661Medicaid
OH0349331Medicaid
IN100369340AMedicaid
KS200258670AMedicaid
CAXHSP31361Medicaid
FL911361400Medicaid
ALUNI0003NMedicaid
GA000883726XMedicaid
AR159639105Medicaid
MD592100700Medicaid
MS7001801Medicaid
CAXHSP41361Medicaid
ME421680000Medicaid
CO68931522Medicaid
KY01542752Medicaid
LA1703150Medicaid
MD592100700Medicaid
ME421680000Medicaid