Organization Active NPI

Norton Clark Hospital, LLC

  • Psychiatric Hospital Unit
  • Jeffersonville, IN
National Provider Identifier
1437253507
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
05-005009 Issued in IN
Legal business name
NORTON CLARK HOSPITAL, LLC
Practice address
1220 Missouri Ave
Jeffersonville, IN 47130-3725
Phone
(812) 282-6631
Fax
(812) 283-2688
NPI assigned
Sep 11, 2006
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Shelley Gast
Title
VP Managed Care
Phone
(502) 272-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 05-005009 IN Primary

Addresses

Primary practice location

1220 Missouri Ave
Jeffersonville, IN 47130-3725

Mailing address

1220 Missouri Ave
PO Box 69
Jeffersonville, IN 47130-3725
Phone (812) 282-6631

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address healthinfomgt@clarkmem.allscriptsdirect.net

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1437253507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MISSOURI AVE",
            "address_2": "PO BOX 69",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303725",
            "telephone_number": "812-282-6631",
            "fax_number": "812-283-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MISSOURI AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303725",
            "telephone_number": "812-282-6631",
            "fax_number": "812-283-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTON CLARK HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "VP MANAGED CARE",
        "authorized_official_telephone_number": "502-272-5335"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IN",
            "license": "05-005009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "healthinfomgt@clarkmem.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1220 Missouri Ave",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.