Organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Active
Other names
Our Lady of Peace EPSDT
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD FARR (CHIEF FINANCIAL OFFICER)
(502) 540-3888
Entity
Organization
Contact information
Practice address
2020 NEWBURG RD, LOUISVILLE, KY 40205-1803
(502) 451-3330
Mailing address
PO BOX 2587, LOUISVILLE, KY 40201-2587
(502) 451-3330
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45020880
—
KY
Enumeration date
05/22/2007
Last updated
08/28/2012
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