NPIMap

Organization Active NPI

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

Doing business as Frazier Rehab Institute Fern Valley

  • Rehabilitation Hospital Unit
  • Louisville, KY
National Provider Identifier
1689670606
Registry record updated May 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
100658 Issued in KY
Legal business name
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Doing business as
Frazier Rehab Institute Fern Valley
Practice address
100 High Rise Dr
Ste 110
Louisville, KY 40213-3251
Phone
(502) 966-4466
Fax
(502) 964-3271
NPI assigned
Jun 23, 2005
Last updated
May 18, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2017

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

Authorized official

Name
Catherine L. Spalding
Title
Vice President
Phone
(502) 582-7437

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Rehabilitation Hospital Unit 273Y00000X 100658 KY Primary

Addresses

Primary practice location

100 High Rise Dr
Ste 110
Louisville, KY 40213-3251

Mailing address

PO Box 2587
Louisville, KY 40201-2587
Phone (502) 587-4099

Other identifiers 2

IdentifierTypeStateIssuer
000000063934OtherKYANTHEM
0696831OtherKYAETNA HMO

Other names 1

  • Frazier Rehab Institute Fern Valley Doing business as

National Provider Directory

National Provider Directory
Part of
Jewish Hospital St Mary's Healthcare Inc

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495065600000",
    "number": "1689670606",
    "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": "502-587-4099",
            "fax_number": "502-587-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH RISE DR",
            "address_2": "STE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402133251",
            "telephone_number": "502-966-4466",
            "fax_number": "502-964-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.",
        "enumeration_date": "2005-06-23",
        "last_updated": "2017-05-18",
        "status": "A",
        "authorized_official_last_name": "SPALDING",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-582-7437"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "KY",
            "license": "100658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000063934",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0696831",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frazier Rehab Institute Fern Valley",
            "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 May 18, 2017; 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.