Provider Demographics
NPI:1871959551
Name:UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
Entity type:Organization
Organization Name:UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:R
Authorized Official - Last Name:HINDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-585-8720
Mailing Address - Street 1:3200 BURNET AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229
Mailing Address - Country:US
Mailing Address - Phone:513-585-9700
Mailing Address - Fax:513-585-9711
Practice Address - Street 1:3200 BURNET AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-585-9700
Practice Address - Fax:513-585-9711
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UC HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-11
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336S0011X, 3336C0003X
OH022588500-033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0164391Medicaid
2157478OtherPK
7512560001Medicare NSC