Look up the most recent NPI and PECOS records

University Of Louisville Research Foundation

(Ulrf Aim Clinic)

Internal Medicine

Allopathic & Osteopathic Physicians

550 S Jackson St, Louisville, KY 40202-1622

PECOS Enrollment

Based on the most recent information from CMS, provider University Of Louisville Research Foundation does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1548691926
Provider Type
Organization
Full Name
University Of Louisville Research Foundation
Other Name
Ulrf Aim Clinic

Subpart
Yes
Enumeration Date
12/10/2013
Last Updated
1/15/2014

Contact Information

Practice Location

550 S Jackson St, Louisville, KY 40202-1622

(502) 561-8686

(502) 561-8687

Mailing Location

PO Box 909, Louisville, KY 40201-0909

(502) 588-0320

(502) 588-0326

Authorized Official

Dunn, David (Evp Of Health Affairs)

(502) 852-5184

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RC0000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RE0101X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RG0100X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RH0002X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RH0003X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RI0011X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RI0200X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RN0300X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RP1001X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RR0500X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 7100180270	Description Medicaid	Issuer Unlisted Kentucky

University Of Louisville Research Foundation

(Ulrf Aim Clinic)

PECOS Enrollment

Profile Details

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