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DSH180067Z UNIVERSITY OF KENTUCKY (Active)
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Main Details
Name
UNIVERSITY OF KENTUCKY
Subdivision Name
University of Kentucky Hospital Kentucky Clinic Radiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180067Z
Medicare Provider Number
180067
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/8/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/11/2013
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
UK HealthCare
Timothy Andrew Slocum, Senior Vice President & Chief Operations Officer
(859) 257-4119
Primary Contact
University of Kentucky
Philip J Almeter, Chief Pharmacy Officer
(859) 323-1088
Addresses
Street Address
Kentucky Clinic, First floor, Wing C
740 S. Limestone St
Lexington, KY 40536
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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