Norton Community Medical Associates Ancillary | |
3101 Poplar Level Rd Ste 101 Louisville KY 40213-1076 | |
(502) 636-7444 | |
(502) 636-7112 |
Full Name | Norton Community Medical Associates Ancillary |
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Speciality | Internal Medicine |
Location | 3101 Poplar Level Rd Ste 101, Louisville, Kentucky |
Authorized Official Name and Position | Shelley Gast (VP MANAGED CARE) |
Authorized Official Contact | 5022725335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Norton Community Medical Associates Ancillary Po Box 776351 Chicago IL 60677-6351 Ph: (502) 558-9490 | Norton Community Medical Associates Ancillary 3101 Poplar Level Rd Ste 101 Louisville KY 40213-1076 Ph: (502) 636-7444 |
NPI Number | 1326776717 |
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Provider Enumeration Date | 08/12/2022 |
Last Update Date | 11/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326776717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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