NPIMap

Organization Active NPI

Jewish Hospital & St Mary's Healthcare Inc

Doing business as KentuckyOne Primary Care

  • Rural Health Clinic/Center
  • Brandenburg, KY
National Provider Identifier
1447312129
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
JEWISH HOSPITAL & ST MARY'S HEALTHCARE INC
Doing business as
KentuckyOne Primary Care
Practice address
534 Hillcrest Drive
Brandenburg, KY 40108-1222
Phone
(270) 422-5000
NPI assigned
Dec 15, 2006
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Steve Scannell
Title
Vice President Finance
Phone
(502) 587-4883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

534 Hillcrest Drive
Brandenburg, KY 40108-1222

Mailing address

534 Hillcrest Dr
Brandenburg, KY 40108-1222
Phone (270) 422-5000

Other identifiers 1

IdentifierTypeStateIssuer
35000611MedicaidKY

Other names 1

  • KentuckyOne Primary Care Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1447312129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 HILLCREST DR",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081222",
            "telephone_number": "270-422-5000",
            "fax_number": "270-422-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 HILLCREST DRIVE",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081222",
            "telephone_number": "270-422-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOSPITAL & ST MARY'S HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "SCANNELL",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "502-587-4883"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35000611",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KentuckyOne Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandenburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.