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General NPI Number Information
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NPI Number | 1306888284
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Entity Type | Organization
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Legal Business Name | JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/28/2017
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Provider Practice Location Address
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Address Line | 2020 NEWBURG RD.
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City | LOUISVILLE
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State | KY
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Zip | 40205-1803
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Country | US
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Telephone | 502-451-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 250 E. LIBERTY SUITE 500
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City | LOUISVILLE
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State | KY
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Zip | 40202-1536
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Country | US
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Telephone | 502-587-4476
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Fax | 502-587-4904
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Authorized Official
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Title or Position | VP FINANCE
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Name | JOHN CLAGG
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Credential |
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Telephone | 502-560-8357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 100236
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 100236
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License Number State |
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Taxonomy #3
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 100236
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License Number State | KY
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