1093711178 NPI number — NORTON HOSPITALS, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093711178 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 SOUTHWEST MEDICAL CENTER
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:
1093711178
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 35070
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40232-5070
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:
9700 STONESTREET RD
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:
40272-2884
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-933-8100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
GOUGH
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
W
Authorized Official Title or Position:
SENIOR VP CFO
Authorized Official Telephone Number:
502-629-8326

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  100475 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QA1903X , with the licence number: 100475 , 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: 000000061919 . This is a "ANTHEM REF LAB PROV NUM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1049531 . This is a "PASSPORT PROV NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000297478 . This is a "ANTHEM IMPLANTS PROV NUM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000054676 . This is a "ANTHEM ACUTE PROV NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01012764 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0474137 . This is a "AETNA HMO PROV NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5000015 . This is a "UNITED HEALTHCARE PROV" identifier . This identifiers is of the category "OTHER".




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