NPIMap

Organization Active NPI

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

Doing business as Jewish Hospital

  • General Acute Care Hospital
  • Louisville, KY
National Provider Identifier
1073678330
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
100215 Issued in KY
Legal business name
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Doing business as
Jewish Hospital
Practice address
200 Abraham Flexner Way
Louisville, KY 40202-1818
Phone
(502) 587-4011
NPI assigned
Dec 27, 2006
Last updated
Jul 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
John Clagg
Title
VP Finance
Phone
(502) 560-8357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 100215 KY Primary

Addresses

Primary practice location

200 Abraham Flexner Way
Louisville, KY 40202-1818

Mailing address

PO Box 2587
Louisville, KY 40201-2587
Phone (502) 587-4011

Other identifiers 10

IdentifierTypeStateIssuer
5000027OtherKYUNITED HEALTHCARE
100275640AMedicaidIN
000000054799OtherKYANTHEM
000000032104MedicaidMA
304657327MedicaidMI
006895400OtherKYBLACK LUNG
1049530OtherKYPASSPORT
2432563000OtherKYPASSPORT ADVANTAGE
0485429OtherKYAETNA HMO
01022367MedicaidKY

Other names 1

  • Jewish Hospital Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0320857U of L Health-Jewish Hospital200 Abraham Flexner Way, Louisville, KY 40202AccreditationOct 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Jewish Hospital St Mary's Healthcare Inc22 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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1073678330",
    "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": "502-587-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021818",
            "telephone_number": "502-587-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "CLAGG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "502-560-8357"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "100215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000027",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100275640A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000054799",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000032104",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304657327",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "006895400",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1049530",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2432563000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0485429",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01022367",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewish Hospital",
            "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 Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.