1831195908 NPI number — NORTON HOSPITALS, INC

Table of content: (NPI 1831195908)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831195908 NPI number — NORTON HOSPITALS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTON HOSPITALS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NORTON WOMEN'S AND CHILDRENS HOSPITAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831195908
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 776788
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60677-5070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4001 DUTCHMANS LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40207-4714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-893-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
GAST
Authorized Official First Name:
SHELLEY
Authorized Official Middle Name:
Authorized Official Title or Position:
VP MANAGED CARE
Authorized Official Telephone Number:
502-272-5335

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  100255 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 282NC2000X , with the licence number: 100255 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282NW0100X , with the licence number: 100255 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000009685Q . This is a "HUMANA PROV NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1049525 . This is a "PASSPORT PROV NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000061962 . This is a "ANTHEM REF LAB PROV NUM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000297480 . This is a "ANTHEM IMPLANTS PROV NUM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000054678 . This is a "ANTHEM ACUTE PROV NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5000016 . This is a "UNITED HEALTHCARE PROV" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01012764 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0924081 . This is a "AETNA HMO PROV NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100034170 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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