Active NPI
Norton Clark Hospital, LLC
- Psychiatric Hospital Unit
- Jeffersonville, IN
National Provider Identifier
1437253507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 05-005009
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | healthinfomgt@clarkmem.allscriptsdirect.net |
National Provider Directory
National Provider DirectoryNPI 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
- Alyssa Norman
- North Clark Medical Group LLC
- North Clark Urgent Care LLC
- Maricathryn Northam, LCSW
- Norton Clark Hospital, LLC (Norton Clark Hospital)
- Norton Clark Physician Practices, LLC (Clark Memorial Clinic Connection)
- Courtney Lynn Nott
- Novamed Eye Surgery Center of New Albany, LLC (John Kenyon Eye Center)
- Amanda Marie Stolle Nunier, D.C.
- Aneshia Nunley, NP
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.