Healthcare Provider Details
I. General information
NPI: 1568627354
Provider Name (Legal Business Name): NORTON HOSPITALS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2008
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4001 DUTCHMANS LN SUITE 3C
LOUISVILLE KY
40207-4714
US
IV. Provider business mailing address
PO BOX 776788
CHICAGO IL
60677-5070
US
V. Phone/Fax
- Phone: 502-899-6840
- Fax: 502-899-6920
- Phone: 502-629-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0207X |
| Taxonomy | Mobile Mammography Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
SHELLEY
GAST
Title or Position: VP MANAGED CARE
Credential:
Phone: 502-272-5335