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DSH180141P UNIVERSITY OF LOUISVILLE HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF LOUISVILLE HOSPITAL
Subdivision Name
Pain Management Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180141P
Medicare Provider Number
180141
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/14/2015
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
550 South Jackson Street
Ambulatory Care Building 2nd Floor
Louisville, KY 40202
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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