MEDICARE: NORTON HOSPITALS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center	861108954	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	000000502016	OTHER	ANTHEM PROV NUM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	50012980	OTHER	PASSPORT PROV NUM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255335873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTON HOSPITALS, INC

Provider Business Mailing Address
First Line	:	PO BOX 776788
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-5070
Country	:	US
Telephone Number	:	502-629-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	9344 CEDAR CENTER WAY
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-4522
Country	:	US
Telephone Number	:	502-753-3390
Fax Number	:	503-753-3399

Authorized Official
Title or Position	:	VP MANAGED CARE
Name	:	MS. SHELLEY GAST
Credential	:
Telephone Number	:	502-272-5335

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	01/31/2023

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