UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC

Provider Demographics

• NPI: 1255352068
• Name: UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
• Entity type: Organization
• Organization Name: UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: CFO
• Authorized Official - Prefix: MR
• Authorized Official - First Name: HUGH
• Authorized Official - Middle Name: R
• Authorized Official - Last Name: HINDS
• Authorized Official - Phone: 513-585-8720
• Mailing Address - Street 1: 3200 BURNET AVE
• Mailing Address - Street 2: 3 SOUTH
• Mailing Address - City: CINCINNATI
• Mailing Address - State: OH
• Mailing Address - Zip Code: 45229-3019
• Mailing Address - Country: US
• Mailing Address - Phone: 513-585-5507
• Mailing Address - Fax: 513-585-5511
• Practice Address - Street 1: 234 GOODMAN ST
• Practice Address - City: CINCINNATI
• Practice Address - State: OH
• Practice Address - Zip Code: 45219-2364
• Practice Address - Country: US
• Practice Address - Phone: 513-584-1130
• Practice Address - Fax: 513-584-1131
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2006-07-21
• Last Update Date: 2013-10-22

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty
No	364SA2100X	Physician Assistants & Advanced Practice Nursing Providers	Clinical Nurse Specialist	Acute Care	Group - Multi-Specialty
No	367A00000X	Physician Assistants & Advanced Practice Nursing Providers	Advanced Practice Midwife		Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Multi-Specialty
No	363LW0102X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Women's Health	Group - Multi-Specialty
No	363LA2200X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Adult Health	Group - Multi-Specialty
No	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Family	Group - Multi-Specialty
No	363LA2100X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Acute Care	Group - Multi-Specialty
No	363LN0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Neonatal	Group - Multi-Specialty