Organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Active
Parent organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Other names
Frazier Rehab Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Authorized official
ROBERT DENNIS BIBELHAUSER (DIRECTOR OF FINANCE & REIMBURSEMENT)
(502) 587-4773
Entity
Organization
Contact information
Practice address
220 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-3826
(502) 582-7400
Mailing address
250 E. LIBERTY, SUITE 500, LOUISVILLE, KY 40202-1536
(502) 587-4099
(502) 587-4904
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
100244
KY
282N00000X
General Acute Care Hospital
100236
KY
283Q00000X
Psychiatric Hospital
100236
KY
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000065198
ANTHEM
KY
05
—
01022367
—
KY
01
—
0604350
AETNA HMO
KY
05
—
100276080A
—
IN
01
—
104379600
US DEPARTMENT OF LABOR
KY
01
—
1048800
PASSPORT
KY
01
—
2432222000
PASSPORT ADVANTAGE
KY
01
—
5000022
UNITED HEALTHCARE
KY
01
—
847339
BLACK LUNG
KY
05
—
93000107
—
KY
Enumeration date
06/22/2005
Last updated
09/12/2018
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