| Norton Southwest Medical Center | |
|
9700 Stonestreet Rd Louisville KY 40272-2884 | |
| (502) 933-8100 | |
| Not Available |
| Full Name | Norton Southwest Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 9700 Stonestreet Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Michael W Gough (SENIOR VP CFO) |
| Authorized Official Contact | 5026298326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norton Southwest Medical Center Po Box 35070 Louisville KY 40232-5070 Ph: () - | Norton Southwest Medical Center 9700 Stonestreet Rd Louisville KY 40272-2884 Ph: (502) 933-8100 |
| NPI Number | 1093711178 |
|---|---|
| Provider Enumeration Date | 06/23/2005 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093711178 | NPI | - | NPPES |
| 000000061919 | Other | ANTHEM REF LAB PROV NUM | |
| 1049531 | Other | PASSPORT PROV NUMBER | |
| 000000297478 | Other | ANTHEM IMPLANTS PROV NUM | |
| 000000054676 | Other | ANTHEM ACUTE PROV NUMBER | |
| 01012764 | Medicaid | KY | |
| 0474137 | Other | AETNA HMO PROV NUMBER | |
| 5000015 | Other | UNITED HEALTHCARE PROV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 100475 (Kentucky) | Primary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | 100475 (Kentucky) | Secondary |
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