Organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Active
Other names
Jewish Hospital Shelbyville
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CLAGG (VP FINANCE)
(502) 560-8357
Entity
Organization
Contact information
Practice address
727 HOSPITAL DR, SHELBYVILLE, KY 40065-1660
(502) 647-4000
Mailing address
PO BOX 2587, LOUISVILLE, KY 40201-2587
(502) 587-4099
(502) 587-4944
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
100385
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054800
ANTHEM
KY
01
—
006895400
US DEPARTMENT OF LABOR
KY
05
—
01022375
—
KY
01
—
0492294
AETNA HMO
KY
01
—
1049843
PASSPORT
KY
05
—
200445070A
—
IN
01
—
2432695000
PASSPORT ADVANTAGE
KY
01
—
5000028
UNITED HEALTHCARE
KY
Enumeration date
07/20/2005
Last updated
07/28/2017
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