JEWISH HOSPITAL FPA; NPI #1760566392

Contact Information

JEWISH HOSPITAL FPA

7612 SHEPHERDSVILLE RD
LOUISVILLE, KY 40219-2963

Phone: 502-968-6226
Fax: 502-966-5562
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for JEWISH HOSPITAL FPA

NPI Number 1760566392

LBN Legal business name JEWISH HOSPITAL FPA

Authorized official DIRENDIA SHACKELFORD - (MANAGED CARE SPECIALIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/24/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

KY	License #	18030
KY	Medicaid	64480300
	Other	1826796	OTHER ID NUMBER-COMMERCIAL NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JEWISH HOSPITAL FPA

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for JEWISH HOSPITAL FPA

Reviews for JEWISH HOSPITAL FPA