Provider Demographics
NPI:1437119500
Name:NORTON HOSPITAL INC
Entity Type:Organization
Organization Name:NORTON HOSPITAL INC
Other - Org Name:NORTON PSYCHIATRIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP MANAGED CARE
Authorized Official - Prefix:MS
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 1:200 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1831
Practice Address - Country:US
Practice Address - Phone:502-629-8850
Practice Address - Fax:502-629-2340
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTON HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-24
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200422540Medicaid
KY65942385Medicaid
KY800013960OtherRAILROAD MEDICARE
KY2413OtherMEDICARE
KY800013963OtherRAILROAD MEDICARE
IN200478830Medicaid
KY800013959OtherRAILROAD MEDICARE
KYP00115999OtherRAILROAD MEDICARE
KY500028784OtherRAILROAD MEDICARE
KY78904935Medicaid
KYCK5471OtherRAILROAD MEDICARE
KYDB5875OtherRAILROAD MEDICARE