Organization
JEWISH HOSPITAL & ST MARY'S HEALTHCARE INC
Active
Other names
KentuckyOne Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE SCANNELL (VICE PRESIDENT FINANCE)
(502) 587-4883
Entity
Organization
Contact information
Practice address
534 HILLCREST DRIVE, BRANDENBURG, KY 40108-1222
(270) 422-5000
Mailing address
534 HILLCREST DR, BRANDENBURG, KY 40108-1222
(270) 422-5000
(270) 422-5052
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35000611
—
KY
Enumeration date
12/15/2006
Last updated
01/13/2016
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