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General NPI Number Information
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NPI Number | 1861554438
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Entity Type | Organization
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Legal Business Name | UNIVERSITY MEDICAL CENTER, INC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 530 S JACKSON ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1675
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Country | US
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Telephone | 502-562-3634
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Fax | 502-562-3222
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Provider Business Mailing Address
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Address Line | 530 S JACKSON ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1675
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Country | US
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Telephone | 502-562-3634
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Fax | 502-562-3222
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Authorized Official
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Title or Position | CFO
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Name | KIRK STRACK
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Credential |
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Telephone | 502-561-7213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 100220
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 100220
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 100220
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 100220
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 100220
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 100220
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License Number State | KY
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