NPIMap

Organization Active NPI

Norton Scott Hospital, LLC

  • Rural Health Clinic/Center
  • Scottsburg, IN
National Provider Identifier
1669915864
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NORTON SCOTT HOSPITAL, LLC
Practice address
1465 N Gardner St
Scottsburg, IN 47170-7751
Phone
(812) 752-0001
Fax
(812) 752-0010
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1465 N Gardner St
Scottsburg, IN 47170-7751

Mailing address

4803 Olympia Park PLZ Ste 1100
Louisville, KY 40241-3009

Other names 1

  • Norton Rural Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170606001726 IN Part A Provider - Rural Health Clinic 6002069143 Practice locations: Scottsburg, IN

Rural health clinic certification: CCN 158523

Legal name
NORTON SCOTT HOSPITAL, LLC
Doing business as
NORTON RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 6, 2017
Last certification
Jun 6, 2017
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
1465 N Gardner Street
Scottsburg, IN 47170-7751
Related CCNs
151334

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
15D1088834Norton Rural Health Clinic1465 N Gardner St, Scottsburg, IN 47170Certificate of waiverSep 4, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shelley Gast Individual Contracted Managing Employee Sep 30, 2023
Corporate OfficerVice President Sep 30, 2023
Elizabeth Truax Individual Corporate DirectorSystem Director of Managed Care Jan 13, 2025
The Regional Health Network of Kentucky and Southern Indiana LLC Organization, Brentwood, TN LLC 5% Or Greater Direct Ownership Interest Aug 12, 2004 100%
Adam D Kempf Individual Corporate Officer Sep 30, 2023
Norton Healthcare - Indiana, Inc Organization, Louisville, KY Non-profit 5% Or Greater Indirect Ownership Interest Sep 29, 2023 100%
Russell F Cox Individual Corporate Officer Sep 30, 2023
Robert B Azar Individual Corporate Officer Sep 30, 2023

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Norton Scott HospitalScottsburg, IN, CCN 151334 Hospital 5% Or Greater Indirect Ownership Interest (100%) Sep 30, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1669915864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 OLYMPIA PARK PLZ STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413009",
            "fax_number": "812-752-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 N GARDNER ST",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471707751",
            "telephone_number": "812-752-0001",
            "fax_number": "812-752-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTON SCOTT HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norton Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsburg, IN

Sources for this page

Verify at the official NPI Registry.