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DSH180141B UNIVERSITY OF LOUISVILLE HOSPITAL (Terminated)
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Main Details
Name
UNIVERSITY OF LOUISVILLE HOSPITAL
Subdivision Name
OUTPATIENT SERVICES
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180141B
Medicare Provider Number
180141
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/21/2008
Participating Start Date
7/1/1998
Participating Approval Date
4/21/2008
Last Recertification Date
8/18/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
University of Louisville Hospital
Steve Amsler, Senior Vice President of Operations
(502) 562-4122
Primary Contact
University of Louisville Hospital
Jessie Morgan, Outpatient Pharmacy Manager
(502) 562-6742
Addresses
Street Address
530 SOUTH JACKSON STREET
LOUISVILLE, KY 40202
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/21/08 MOVED ADDR LINE 2 TO SHIP TO SECTION
04/21/2008
April 2025
April 2025
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