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NPI Code Detail

MEDICARE: NORTON HOSPITALS INC

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
1291U00000XClinical Medical Laboratory100475KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000061919OTHERANTHEM REF LAB

General Provider Information

NPI Number : 1477682607
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 : 9700 STONESTREET RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40272-2884
Country : US
Telephone Number : 502-933-8100
Fax Number :
Authorized Official
Title or Position : VP MANAGED CARE
Name : MS. SHELLEY GAST
Credential :
Telephone Number : 502-272-5335
Provider Enumeration Date : 03/05/2007
Last Update Date : 01/31/2023

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