UNIVERSITY OF LOUISVILLE; NPI #1861413098

Contact Information

UNIVERSITY OF LOUISVILLE

501 S PRESTON ST
LOUISVILLE, KY 40202-1701

Phone: 502-852-5096
Fax: 502-852-1110
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	1223G0001X
Dentist	122300000X
Endodontics	1223E0200X
Oral and Maxillofacial Pathology	1223P0106X
Oral and Maxillofacial Radiology	1223X0008X
Oral and Maxillofacial Surgery	1223S0112X	19	Oral Surgery (Dentist only)
Orthodontics and Dentofacial Orthopedics	1223X0400X
Pediatric Dentistry	1223P0221X
Periodontics	1223P0300X
Prosthodontics	1223P0700X

Indicates primary specialty

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NPI Profile & details for UNIVERSITY OF LOUISVILLE

NPI # 1861413098

LBN Legal business name UNIVERSITY OF LOUISVILLE

Authorized official TIMOTHY DAUGHERTY - (ASSOC DEAN FOR CLINICAL AFFAIRS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 07/22/2006

Last updated 07/26/2017 - About 9 years ago

Identifiers

IN	Medicaid	100001450A
KY	Medicaid	61940102
KY	Other	1048739	PASSPORT HEALTH PLAN
KY	Other	1049975	PASSPORT HEALTH PLAN FPP
KY	Other	1151798	PASSPORT HEALTH PLAN SUHD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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UNIVERSITY OF LOUISVILLE

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NPI Profile & details for UNIVERSITY OF LOUISVILLE

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