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NPI Code Detail

MEDICARE: JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.

MEDICARE: JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, 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
1273Y00000XRehabilitation Hospital Unit100215KY
2283Q00000XPsychiatric Hospital100215KY
3283X00000XRehabilitation Hospital
4282N00000XGeneral Acute Care Hospital100215KY

General Provider Information

NPI Number : 1275539587
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 250 E. LIBERTY
Second Line : SUITE 500
City : LOUISVILLE
State : KY
Zip : 40202-1536
Country : US
Telephone Number : 502-587-4476
Fax Number : 502-587-4904
Provider Business Practice Location Address
First Line : 200 ABRAHAM FLEXNER WAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-1818
Country : US
Telephone Number : 502-587-4011
Fax Number : 502-587-4904
Authorized Official
Title or Position : VP FINANCE
Name : JOHN CLAGG
Credential :
Telephone Number : 502-560-8357
Provider Enumeration Date : 06/22/2005
Last Update Date : 07/29/2017

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