Organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Active
Other names
Jewish Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CLAGG (VP FINANCE)
(502) 560-8357
Entity
Organization
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1818
(502) 587-4011
Mailing address
PO BOX 2587, LOUISVILLE, KY 40201-2587
(502) 587-4011
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
100215
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000032104
—
MA
01
—
000000054799
ANTHEM
KY
01
—
006895400
BLACK LUNG
KY
05
—
01022367
—
KY
01
—
0485429
AETNA HMO
KY
05
—
100275640A
—
IN
01
—
1049530
PASSPORT
KY
01
—
2432563000
PASSPORT ADVANTAGE
KY
05
—
304657327
—
MI
01
—
5000027
UNITED HEALTHCARE
KY
Enumeration date
12/27/2006
Last updated
07/28/2017
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