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General NPI Number Information
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NPI Number | 1609810944
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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 | 06/16/2006
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 708 WESTPORT RD SUITE 105
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2866
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Country | US
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Telephone | 270-360-8094
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Fax | 270-769-3260
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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 | 502-587-4904
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. RONALD FARR
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Credential |
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Telephone | 502-540-3888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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 | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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