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DSH180141Q UNIVERSITY OF LOUISVILLE HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF LOUISVILLE HOSPITAL
Subdivision Name
Infusion Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180141Q
Medicare Provider Number
180141
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/19/2016
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
401 East Chestnut Street
HCOC Basement
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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