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

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

100385 Issued in KY

Legal business name

JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.

Doing business as

Jewish Hospital Shelbyville

Practice address

727 Hospital Dr
Shelbyville, KY 40065-1660

Phone

(502) 647-4000

NPI assigned

Jul 20, 2005

Last updated

Jul 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Clagg

Title

VP Finance

Phone

(502) 560-8357

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Jewish Hospital Shelbyville Doing business as

Member of 1

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

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

  dba Pharmacy Plus Specialty

  • Community/Retail Pharmacy
  • Louisville, KY
  • NPI 1215356837

  Member Of

  NPD member

Practitioners 1

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.

• Andrew Richard Duffee, M.D.

  • Orthopaedic Surgery Physician
  • Shelbyville, KY
  • NPI 1811029580
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1689673717",
    "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": "727 HOSPITAL DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651660",
            "telephone_number": "502-647-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "CLAGG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "502-560-8357"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "100385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1049843",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01022375",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200445070A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2432695000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0492294",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000054800",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "006895400",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000028",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewish Hospital Shelbyville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Mae Jensen, APRN
• Jean Anne Jensen, DMD, MS
• Travis Dean Jent, PHARMD
• Jeremy L Fairbourn DDS, PLLC
• Jewish Hospital & St. Mary's Healthcare, Inc. (Jewish Hospital Shelbyville Skilled Nursing Facility)
• Jewish Hospital & St. Mary's Healthcare, Inc. (Jewish Hospital Shelbyville)
• Jewish Hospital & St. Mary's Healthcare, Inc.
• Ryan Johns
• Hannah Raye Johnson, LCSW
• Alexandria Evette Jones, CCC-SLP

• General Acute Care Hospital in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• General Acute Care Hospital in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.