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	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1477183481
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	:	2720 CANNONS LN HNGR 7
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3286
Country	:	US
Telephone Number	:	502-629-7557
Fax Number	:	502-629-6017

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

Provider Enumeration Date	:	01/17/2020
Last Update Date	:	02/02/2023

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