Healthcare Provider Details

I. General information

NPI: 1043383417
Provider Name (Legal Business Name): UCPHA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 08/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 DISCOVERY DRIVE
WEST CHESTER OH
45069
US

IV. Provider business mailing address

7750 DISCOVERY DRIVE
WEST CHESTER OH
45069
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8300
  • Fax: 513-475-8301
Mailing address:
  • Phone: 513-475-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number1460
License Number StateOH

VIII. Authorized Official

Name: HUGH R HINDS JR.
Title or Position: EXECUTIVE VP & CFO
Credential:
Phone: 513-585-8720