Organization
NORTON - KINGS DAUGHTERS HEALTH INC
Active
Parent organization
NORTON - KINGS DAUGHTERS HEALTH INC
Other names
Norton King's Daughters' Health, The Bethany Circle of King's Daughters' Health of Madison Indiana, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTON - KINGS DAUGHTERS HEALTH INC
Authorized official
SHELLEY GAST (VP, MANAGED CARE)
(502) 303-2329
Entity
Organization
Contact information
Practice address
1373 E STATE ROAD 62, MADISON, IN 47250-7328
(812) 801-0800
(812) 265-6603
Mailing address
PO BOX 3395, EVANSVILLE, IN 47732-3395
(812) 801-0715
(812) 265-6603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056018
ANTHEM BCBS
IN
05
—
100148960
—
IN
05
—
100388910
—
IN
01
—
1170897
PASSPORT MEDICAID
KY
05
—
200140910
—
IN
05
—
65903890
—
KY
05
—
65928533
—
KY
05
—
78901048
—
KY
Enumeration date
06/29/2006
Last updated
08/08/2024
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