UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC NPI 1629075825

NPI Information

NPI: 1629075825
Provider Name: UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC

Doing Business As: KIDNEY DISEASE PROGRAM / LOUISVILLE RENAL DIALYSIS FACILITY

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
615 S PRESTON ST
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-5757
Get Directions

UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC is an end-stage renal disease (esrd) treatment clinic center in Louisville, KY. UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC NPI is 1629075825. The provider is registered as an organization entity type.
The provider Is Doing Business As Kidney Disease Program / Louisville Renal Dialysis Facility.

The provider's business location address is:

615 S PRESTON ST
LOUISVILLE, KY
ZIP 40202-715
Phone: (502) 852-5757
Fax: (502) 852-4039

The provider's authorized official is Eleanor D Lederer .
The authorized official title is Chief, Division Of Nephrology and has the following contact phone number (502) 852-5757.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 10/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	182501	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	350	OTHER	KENTUCKY	BLUE CROSS NUMBER
2	182501	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE ID NUMBER
3	39090030	MEDICAID	KENTUCKY
4	004541476	OTHER	KENTUCKY	AETNA PROVIDER #
5	000000112462	OTHER	KENTUCKY	BCBS 12 DIGIT PROVIDER #
6	000003108H	OTHER	KENTUCKY	HUMANA HEALTH CARE NUMBER
7	100003040A	OTHER	INDIANA	INDIANA MEDICAID
8	5416V4981	OTHER	KENTUCKY	AHDS PROVIDER #
9	50001023	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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