Healthcare Provider Details

I. General information

NPI: 1336198928
Provider Name (Legal Business Name): JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 BUCK CREEK RD
SIMPSONVILLE KY
40067-6674
US

IV. Provider business mailing address

60 MACK WALTERS RD
SHELBYVILLE KY
40065
US

V. Phone/Fax

Practice location:
  • Phone: 502-722-0223
  • Fax: 502-722-0221
Mailing address:
  • Phone: 502-722-0223
  • Fax: 502-722-0221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHY FLOYD
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 502-633-4622