Healthcare Provider Details

I. General information

NPI: 1093341497
Provider Name (Legal Business Name): UOFL HEALTH-LOUISVILLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 DUTCHMANS LN
LOUISVILLE KY
40207-4020
US

IV. Provider business mailing address

530 S JACKSON ST
LOUISVILLE KY
40202
US

V. Phone/Fax

Practice location:
  • Phone: 502-259-6000
  • Fax:
Mailing address:
  • Phone: 502-562-4004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: THOMAS DANIEL MILLER
Title or Position: CEO
Credential:
Phone: 502-562-4004