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General NPI Number Information
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NPI Number | 1881797348
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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 | 09/07/2006
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 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 | 502-361-6700
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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 | 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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 100739
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License Number State | KY
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