Organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Active
Other names
JHS Shelby Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY FLOYD (BILLING SUPERVISOR)
(502) 633-4622
Entity
Organization
Contact information
Practice address
133 BUCK CREEK RD, SIMPSONVILLE, KY 40067-6674
(502) 722-0223
(502) 722-0221
Mailing address
60 MACK WALTERS RD, SHELBYVILLE, KY 40065
(502) 722-0223
(502) 722-0221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389694
ANTHEM
KY
01
—
50010253
PASSPORT HEALTH PLAN
KY
Enumeration date
05/09/2006
Last updated
01/02/2008
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