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JEWISH HOSPITAL & ST. MARY'S HEALTHCARE INC. NPI 1124237375


NPI Information

NPI: 1124237375
Provider Name: JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.

Doing Business As: OUR LADY OF PEACE EPSDT

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
2020 NEWBURG RD
LOUISVILLE, KY
ZIP 40205
Phone: (502) 451-3330
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JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. is a psychiatric hospital in Louisville, KY. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. NPI is 1124237375. The provider is registered as an organization entity type.
The provider Is Doing Business As Our Lady Of Peace Epsdt.

The provider's business location address is:

2020 NEWBURG RD
LOUISVILLE, KY
ZIP 40205-803
Phone: (502) 451-3330

The provider's authorized official is Ronald Farr .
The authorized official title is Chief Financial Officer and has the following contact phone number (502) 540-3888.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145020880MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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