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General NPI Number Information
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NPI Number | 1588601991
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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 | 06/02/2006
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Last Update Date | 07/28/2017
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Provider Practice Location Address
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Address Line | 1850 BLUEGRASS AVE
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City | LOUISVILLE
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State | KY
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Zip | 40215-1161
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Country | US
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Telephone | 502-361-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2587
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City | LOUISVILLE
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State | KY
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Zip | 40201-2587
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Country | US
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Telephone | 502-587-4099
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Fax |
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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 | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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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 | 100254
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License Number State | KY
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