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DSH180040D UofL Health -- Louisville (Active)
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Main Details
Name
UofL Health -- Louisville
Subdivision Name
DBA ST MARY'S SURGERY CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180040D
Medicare Provider Number
180040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/1/2007
Participating Start Date
7/1/2005
Participating Approval Date
3/1/2007
Last Recertification Date
8/31/2024
Contacts
Authorizing Official
University of Louisville Hospital
Steve Amsler, Senior Vice President of Operations
(502) 562-4122
Primary Contact
UofL Health
Robert Michael Fink, System Vice President, Pharmacy Services
(502) 562-3211
Addresses
Street Address
1850 Bluegrass Ave
LOUISVILLE, KY 40215
Billing Address
University of Louisville Hospital
530 South Jackson Street
Louisville, KY 40202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/1/07 - NAME CHANGED FROM STS MARY & ELIZABETH HOSPITAL, CHANGED MEDICAID # (WAS 102207800)
08/14/2007
April 2025
April 2025
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