NPIMap

Organization Active NPI

Jewish Hospital & St. Mary's Healthcare, Inc.

Doing business as Frazier Rehab Institute Brain Injury

  • Rehabilitation Hospital
  • Louisville, KY
National Provider Identifier
1063667012
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Doing business as
Frazier Rehab Institute Brain Injury
Practice address
220 Abraham Flexner Way
Louisville, KY 40202-3826
Phone
(502) 582-7484
NPI assigned
Nov 18, 2008
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ronald Farr
Title
Chief Financial Officer
Phone
(502) 540-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

220 Abraham Flexner Way
Louisville, KY 40202-3826

Mailing address

PO Box 2587
Louisville, KY 40201-2587
Phone (502) 582-7484

Other identifiers 1

IdentifierTypeStateIssuer
17030560MedicaidKY

Other names 1

  • Frazier Rehab Institute Brain Injury Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jewish Hospital Healthcar22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1063667012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402012587",
            "telephone_number": "502-582-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023826",
            "telephone_number": "502-582-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-540-3888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17030560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frazier Rehab Institute Brain Injury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.