Organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Active
Parent organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Other names
Frazier Rehab Institute Fern Valley
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Authorized official
CATHERINE L. SPALDING (VICE PRESIDENT)
(502) 582-7437
Entity
Organization
Contact information
Practice address
100 HIGH RISE DR, STE 110, LOUISVILLE, KY 40213-3251
(502) 966-4466
(502) 964-3271
Mailing address
PO BOX 2587, LOUISVILLE, KY 40201-2587
(502) 587-4099
(502) 587-4944
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
273Y00000X
Rehabilitation Hospital Unit
Primary
100658
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000063934
ANTHEM
KY
01
—
0696831
AETNA HMO
KY
Enumeration date
06/23/2005
Last updated
05/18/2017
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