Kidney Disease Program / Louisville Renal Dialysis Facility

LBN: University Of Louisville Research Foundation, Inc
Kidney Disease Program / Louisville Renal Dialysis Facility is an health care organization with primary practice located at 615 S Preston St , Louisville KY 40202-1715. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. University Of Louisville Research Foundation, Inc can be contacted via phone (502) 852-5757, or through Lederer, Eleanor D via phone (502) 852-5757.

Contact Information

Primary practice address
615 S Preston St Louisville KY 40202-1715
Phone: (502) 852-5757
Fax: (502) 852-4039
Website:
Map and Directions
Authorized official contact:
Name: Lederer, Eleanor D Doctor of Medicine (MD)
Phone: (502) 852-5757

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 182501 Kentucky

Profile Details

NPI number 1629075825
LBN Legal business name University Of Louisville Research Foundation, Inc
DBA Doing business as Kidney Disease Program / Louisville Renal Dialysis Facility
Authorized official Lederer, Eleanor D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Oct 7th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629075825 NPPES
Indiana Other 100003040A INDIANA MEDICAID
Indiana MEDICAID 39090030 INDIANA MEDICAID
Indiana Other 000003108H INDIANA MEDICAID
Indiana Other 004541476 INDIANA MEDICAID
Indiana MEDICAID 50001023 INDIANA MEDICAID
Indiana Other 5416V4981 INDIANA MEDICAID
Indiana Other 000000112462 INDIANA MEDICAID
Indiana Other 350 INDIANA MEDICAID

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