Healthcare Provider Details

I. General information

NPI: 1316917198
Provider Name (Legal Business Name): UHS OF RIDGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 04/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 RIO DOSA DR
LEXINGTON KY
40509-1540
US

IV. Provider business mailing address

3050 RIO DOSA DR
LEXINGTON KY
40509-1540
US

V. Phone/Fax

Practice location:
  • Phone: 859-269-2325
  • Fax:
Mailing address:
  • Phone: 859-269-2325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number10534
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number10534
License Number StateKY

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO SRVP
Credential:
Phone: 610-768-3300