Provider Demographics
NPI:1831195908
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: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:
Mailing Address - Fax:
Practice Address - Street 1:4001 DUTCHMANS LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4714
Practice Address - Country:US
Practice Address - Phone:502-893-1000
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
KY100255282NC2000X, 282NW0100X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No282NC2000XHospitalsGeneral Acute Care HospitalChildren
No282NW0100XHospitalsGeneral Acute Care HospitalWomen
Provider Identifiers
StateIdentifier IDID TypeIssuer
000009685QOtherHUMANA PROV NUMBER
1049525OtherPASSPORT PROV NUMBER
000000061962OtherANTHEM REF LAB PROV NUM
000000297480OtherANTHEM IMPLANTS PROV NUM
000000054678OtherANTHEM ACUTE PROV NUMBER
5000016OtherUNITED HEALTHCARE PROV
KY01012764Medicaid
0924081OtherAETNA HMO PROV NUMBER
IN100034170Medicaid
=========027OtherTRICARE PROV NUMBER
=========027OtherTRICARE PROV NUMBER
180088Medicare Oscar/Certification