Provider Demographics
NPI:1952307027
Name:NORTON HOSPITALS, INC
Entity Type:Organization
Organization Name:NORTON HOSPITALS, INC
Other - Org Name:NORTON AUDUBON HOSPITAL
Other - Org Type:Doing Business As
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 1:1 AUDUBON PLAZA DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1318
Practice Address - Country:US
Practice Address - Phone:502-636-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTON HOSPITALS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-23
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100252282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000061961OtherANTHEM REF LAB PROV NUM
KY01012764Medicaid
IN100037530Medicaid
5000008OtherUNITED HEALTHCARE PROV
1050679OtherPASSPORT PROV NUMBER
000009685ROtherHUMANA PROV NUMBER
0474122OtherAETNA HMO PROV NUMBER
000000054674OtherANTHEM ACUTE PROV NUMBER
000000297461OtherANTHEM IMPLANTS PROV NUM
=========029OtherTRICARE PROV NUMBER