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DSH180067AP UNIVERSITY OF KENTUCKY (Terminated)
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Main Details
Name
UNIVERSITY OF KENTUCKY
Subdivision Name
NICU Graduate Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180067AP
Medicare Provider Number
180067
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/15/2015
Last Recertification Date
8/31/2023
Termination Date
Termination Reason
10/1/2024
Other
Contacts
Authorizing Official
University of Kentucky HealthCare
Colleen Hope Swartz, Vice President for Hospital Operations
(859) 361-4496
Primary Contact
University of Kentucky
Philip J Almeter, Chief Pharmacy Officer
(859) 323-1088
Addresses
Street Address
740 South Limestone
2nd Floor, Wing D
Lexington, KY 40536
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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