Provider Demographics
NPI:1982609442
Name:NORTON HOSPITALS, INC
Entity type:Organization
Organization Name:NORTON HOSPITALS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GAST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-272-5335
Mailing Address - Street 1:PO BOX 776788
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-5070
Mailing Address - Country:US
Mailing Address - Phone:502-629-8000
Mailing Address - Fax:
Practice Address - Street 1:231 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1821
Practice Address - Country:US
Practice Address - Phone:502-629-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTON HOSPITALS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-20
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100234282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000054673OtherANTHEM BC ACUTE PROVIDER
KY01012764Medicaid
000000063686OtherANTHEM PROFESSIONAL PROV
1050002OtherPASSPORT PROVIDER NUMBER
0063804OtherAETNA HMO PROVIDER
IN100069740Medicaid
5000031OtherUNITED HEALTHCARE PROV
000000054673OtherANTHEM BC ACUTE PROVIDER
KY01012764Medicaid
0063804OtherAETNA HMO PROVIDER