| Norton Clark Hospital, Llc | |
|
1220 Missouri Ave Jeffersonville IN 47130-3725 | |
| (812) 282-6631 | |
| (812) 283-2688 |
| Full Name | Norton Clark Hospital, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1220 Missouri Ave, Jeffersonville, Indiana |
| Authorized Official Name and Position | Shelley Gast (VP MANAGED CARE) |
| Authorized Official Contact | 5022725335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norton Clark Hospital, Llc 1220 Missouri Ave Po Box 69 Jeffersonville IN 47130-3725 Ph: (812) 282-6631 | Norton Clark Hospital, Llc 1220 Missouri Ave Jeffersonville IN 47130-3725 Ph: (812) 282-6631 |
| NPI Number | 1437253507 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Medicare PECOS PAC ID | 5395059661 |
|---|---|
| Medicare Enrollment ID | O20150814013135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437253507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 05-005009 (Indiana) | Primary |
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