Covered Entity Details

DSH180088CD NORTON HOSPITALS, INC (Terminated) - information as of 4/27/2025 12:50:57 AM

Main Details

Name

NORTON HOSPITALS, INC

Subdivision Name

Norton Cardiovascular Diagnostic Center - Dixie

Type

Disproportionate Share Hospital

Rural

340B ID

DSH180088CD

Medicare Provider Number

180088

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

7/10/2013

Participating Start Date

10/1/2013

Participating Approval Date

8/30/2013

Last Recertification Date

8/18/2023

Termination Date
Termination Reason

10/1/2024
Business decision by the Covered Entity

Contacts

Authorizing Official

Norton Healthcare
Adam David Kempf, CFO
(502) 420-2255

Primary Contact

Norton Hospitals, Inc
Amanda Castle, VP, Pharmacy Services
(502) 559-1364

Addresses

Street Address

4420 Dixie Highway
Suite 120
Louisville, KY 40216

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
KY	01012764	1952307027
IN	100037530	1952307027

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH180088AA	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital-Invasive Cardiology	231 East Chestnut St.	Louisville	KY	Active
DSH180088AB	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital-Noninvasive Cardiology	231 East Chestnut St.	Louisville	KY	Active
DSH180088AC	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital-Neurodiagnostic Center	231 East Chestnut St.	Louisville	KY	Active
DSH180088AD	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital-Endoscopy/GI Motility	231 East Chestnut St.	Louisville	KY	Active
DSH180088AE	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Infusion Center	411 East Chestnut St.	Louisville	KY	Active
DSH180088AF	Child	DSH	NORTON HOSPITALS, INC	Kosair Children's Hospital-Clinics	231 East Chestnut St.	Louisville	KY	Terminated
DSH180088AG	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital-Emergency Services	231 East Chestnut St.	Louisville	KY	Active
DSH180088AH	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-5E-Cardiac Telemetry Unit	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088AJ	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Day Surgery	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088AK	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Pre Op/Post Op	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088AL	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Anesthesia	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088AM	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Recovery Room	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088AN	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Radiologic-Diagnostic	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088AP	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-CT Scan Unit	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088AQ	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Nuclear Medicine	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088AR	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Special Procedures	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088AS	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Interventional Radiology	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088AT	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-MRI	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088AU	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Cardiac Cath Lab	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088AV	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Cardiology	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088AW	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-EEG	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088AX	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Endoscopy	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088AY	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Sleep Disorder	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088AZ	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Vascular Access Clinic	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088B	Child	DSH	NORTON HOSPITALS, INC	KOSAIR CHILDREN'S HOSPITAL	231 EAST CHESTNUT STREET	LOUISVILLE	KY	Terminated
DSH180088BA	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Non-Invasive Vascular Lab	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088BB	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Wound Care	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088BC	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Pain Management	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088BD	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Emergency Services	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088BE	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-Operating Room	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BF	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-Day Surgery	4001 Dutchmans Ln.	Louisville	KY	Terminated
DSH180088BG	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-Preop/Postop	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BH	Child	DSH	NORTON HOSPITALS, INC	Norton Suburban Hospital-Anesthesia	4001 Dutchmans Ln.	Louisville	KY	Terminated
DSH180088BJ	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-O/R Recovery	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BK	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-Delivery Room	4001 Dutchmans Ln.	Louisville	KY	Terminated
DSH180088BL	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-Radiology	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BM	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-Nuclear Medicine	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BN	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-Fetal Medicine	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BP	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-CT Scan Unit	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BQ	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-MRI	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BR	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-Cardiac Cath lab	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BS	Child	DSH	NORTON HOSPITALS, INC	Norton Suburban Hospital-EKG	4001 Dutchmans Ln.	Louisville	KY	Terminated
DSH180088BT	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Neurodiagnostics	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BU	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Endoscopy	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BV	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Non Invasive Vascular Lab	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BW	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Wound Care	4001 Dutchmans Ln.	Louisville	KY	Terminated
DSH180088BX	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Emergency Services	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BY	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Kids Express	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088BZ	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - St. Matthews	3991 Dutchmans Ln.	Louisville	KY	Active
DSH180088C	Child	DSH	NORTON HOSPITALS, INC.	NORTON AUDUBON HOSPITAL	ONE AUDUBON PLAZA DRIVE	LOUISVILLE	KY	Terminated
DSH180088CA	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Lithotripsy Unit	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088CB	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Downtown	676 S Floyd St	Louisville	KY	Active
DSH180088CC	Child	DSH	NORTON HOSPITALS, INC	Norton Cardiovascular Diagnostic Center - Springs	6420 Dutchmans Parkway	Louisville	KY	Terminated
DSH180088CD	Child	DSH	NORTON HOSPITALS, INC	Norton Cardiovascular Diagnostic Center - Dixie	4420 Dixie Highway	Louisville	KY	Terminated
DSH180088CE	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center- St. Matthews	4046 Dutchmans Ln	Louisville	KY	Terminated
DSH180088CF	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital - Med/Surg 3 West	4960 Norton Healthcare Blvd.	Louisville	KY	Terminated
DSH180088CG	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Operating Room	4960 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088CH	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-PACU	4960 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088CJ	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Anesthesia	4960 Norton Healthcare Blvd.	Louisville	KY	Terminated
DSH180088CK	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Nuclear Medicine	4960 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088CL	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Special Procedures	4960 Norton Healthcare Blvd.	Louisville	KY	Terminated
DSH180088CM	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Ultrasound	4960 Norton Healthcare Blvd.	Louisville	KY	Terminated
DSH180088CN	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Radiology	4960 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088CP	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-MRI	4960 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088CQ	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Cardiac Cath Lab	4960 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088CR	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-EKG	4960 Norton Healthcare Blvd.	Louisville	KY	Terminated
DSH180088CS	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Neurodiagnostics	4915 Norton Healthcare Blvd	Louisville	KY	Active
DSH180088CT	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Sleep Disorder	4950 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088CU	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Wound Care	9880 Angies Way	Louisville	KY	Active
DSH180088CV	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Pain Management	4915 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088CW	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Emergency Services	4960 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088CX	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-Mother/Baby Unit	4001 Dutchmans Ln.	Louisville	KY	Terminated
DSH180088CY	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-Women's Surgical Unit	4001 Dutchmans Ln.	Louisville	KY	Terminated
DSH180088CZ	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-Med/Surg Adults and Pediatrics	4001 Dutchmans Ln.	Louisville	KY	Terminated
DSH180088DA	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-M-S Adults and Pediatrics	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088DB	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Transitional Care Unit	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088DC	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Clinical Decision Unit	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088DD	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital-Outpatient Preop & Postop	231 East Chestnut St.	Louisville	KY	Terminated
DSH180088DE	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital-Just for Kids Critical Care Ct.	231 East Chestnut St.	Louisville	KY	Terminated
DSH180088DF	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital-Psych 6C	231 East Chestnut St.	Louisville	KY	Terminated
DSH180088DG	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - M-S Adults and Pediatrics	231 East Chestnut St.	Louisville	KY	Terminated
DSH180088DH	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Progressive Cardiac Unit	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088DJ	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Surgery Unit	1 Audubon Plaza Dr.	Louisville	KY	Active
DSH180088DK	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital-Ultrasound	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088DL	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Audubon	2355 Poplar Level Road	Louisville	KY	Active
DSH180088DM	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital-Interventional Radiology	4001 Dutchmans Ln.	Louisville	KY	Active
DSH180088DN	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-Preop/Postop	4960 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088DP	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital-CT Scan	4960 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088DQ	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Ante Partum	4001 Dutchmans Ln.	Louisville	KY	Terminated
DSH180088DR	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Multidisciplinary Clinic	676 S. Floyd St.	Louisville	KY	Active
DSH180088DS	Child	DSH	NORTON HOSPITALS, INC	Infusion Center-Brownsboro	4950 Norton Healthcare Blvd	Louisville	KY	Active
DSH180088DT	Child	DSH	NORTON HOSPITALS, INC	Infusion Center - St. Matthews	3991 Dutchmans Ln	Louisville	KY	Active
DSH180088DU	Child	DSH	NORTON HOSPITALS, INC	Infusion Center - Downtown	676 S Floyd St	Louisville	KY	Active
DSH180088DV	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Downtown Radiation Center	676 S. Floyd St.	Louisville	KY	Active
DSH180088DW	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Behavioral Oncology	3991 Dutchmans Ln	Louisville	KY	Active
DSH180088DX	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital - Endoscopy	4950 Norton Healthcare Blvd	Louisville	KY	Active
DSH180088DY	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Pediatric Surgery	4001 Dutchmans Ln	Louisville	KY	Active
DSH180088DZ	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Pediatric Pre and Post Op	4001 Dutchmans Ln	Louisville	KY	Active
DSH180088E	Child	DSH	NORTON HOSPITALS, INC.	NORTON SUBURBAN HOSPITAL	4001 DUTCHMAN'S LANE	LOUISVILLE	KY	Terminated
DSH180088EA	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hosptial - OB ED	4001 Dutchmans Ln	Louisville	KY	Active
DSH180088EB	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Medical Center - Surgery	4910 Chamberlain Ln	Louisville	KY	Active
DSH180088EC	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Medical Center - Emergency Services	4910 Chamberlain Ln	Louisville	KY	Active
DSH180088ED	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - TCU	4001 Dutchmans Ln	Louisville	KY	Terminated
DSH180088EF	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital - P Endoscopy	315 E. Broadway St.	Louisville	KY	Active
DSH180088EG	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital - P Surgery	315 E. Broadway St.	Louisville	KY	Active
DSH180088EH	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital - P Ambtory Preop & Postop	315 E. Broadway St.	Louisville	KY	Active
DSH180088EJ	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - Open Heart Unit (Observation)	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088EK	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - Intensive Care Unit (Observation)	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088EL	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - 6 West (Observation)	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088EM	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - Ortho/Neuro (Observation)	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088EN	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - 4 West (Observation)	1 Audubon Plaza Drive	Louisville	KY	Terminated
DSH180088EP	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - 4E (Observation)	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088EQ	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - 3 West (Observation)	1 Audubon Plaza Drive	Louisville	KY	Terminated
DSH180088ER	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital - Med/Surg - 5 East (Observation)	4960 Norton Healthcare Blvd	Louisville	KY	Terminated
DSH180088ES	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital - Med/Surg - 4 East (Observation)	4960 Norton Healthcare Blvd	Louisville	KY	Terminated
DSH180088ET	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital - ICU - 3 East (Observation)	4960 Norton Healthcare Blvd	Louisville	KY	Terminated
DSH180088EU	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Med Surg - 7 West & OSCU (Observation)	231 E. Chestnut St.	Louisville	KY	Terminated
DSH180088EV	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Med Surg - 5 East & 5 West (Observation)	231 E. Chestnut St.	Louisville	KY	Terminated
DSH180088EW	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Med Surg (4 West & 7 East)	231 E. Chestnut St.	Louisville	KY	Terminated
DSH180088EX	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Intensive Care Unit (Observation)	4001 Dutchmans Lane	Louisville	KY	Terminated
DSH180088EY	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Pediatric Med/Surg / (Observation)	4001 Dutchmans Lane	Louisville	KY	Terminated
DSH180088EZ	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Orthopedic Unit / (Observation)	4001 Dutchmans Lane	Louisville	KY	Terminated
DSH180088F	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute-Brownsboro	4955 NORTON HEALTHCARE BLVD	LOUISVILLE	KY	Active
DSH180088FA	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Oncology Unit / (Observation)	4001 Dutchmans Lane	Louisville	KY	Terminated
DSH180088FB	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital - PAV Med Surg 3 Giles / (Observation)	315 E. Broadway St.	Louisville	KY	Terminated
DSH180088FC	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital - P Nurs Svc 2E Giles / (Observation)	315 E. Broadway St.	Louisville	KY	Terminated
DSH180088FD	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Outpatient Cardio Pulmonary PCU - Outpatient Cardio Pulmonary PCU	4001 Dutchmans Ln	Louisville	KY	Terminated
DSH180088FE	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Fern Creek Ultrasound - Fern Creek Ultrasound	9344 Cedar Center Way	Louisville	KY	Active
DSH180088FF	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Medical Center - CAT Scan - CAT Scan	4910 Chamberlain Lane	Louisville	KY	Active
DSH180088FG	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Medical Center - Non-Invasive Cardiology - Non-Invasive Cardiology	4910 Chamberlain Lane	Louisville	KY	Active
DSH180088FH	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Post Anesthesia Care - Post Anesthesia Care	231 East Chestnut Street	Louisville	KY	Active
DSH180088FJ	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital - Pain Management - Pain Management	315 East Broadway Street	Louisville	KY	Active
DSH180088FK	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Peds Sleep Center - Peds Sleep Center	4001 Dutchmans Lane	Louisville	KY	Active
DSH180088FL	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Ultrasound - Ultrasound	4001 Dutchmans Lane	Louisville	KY	Active
DSH180088FM	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Fern Creek Breast Diagnostics - Fern Creek Breast Diagnostics	9344 Cedar Center Way	Louisville	KY	Active
DSH180088FN	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Fern Creek Radiology - Fern Creek Radiology	9344 Cedar Center Way	Louisville	KY	Active
DSH180088FP	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Springs Cardiac Rehab - Springs Cardiac Rehab	6420 Dutchmans Parkway	Louisville	KY	Active
DSH180088FQ	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital - P Radiology - P Radiology	315 East Broadway Street	Louisville	KY	Active
DSH180088FR	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Medical Center - Outpatient Pre-Op & Post-Op - Outpatient Pre-Op & Post-Op	4910 Chamberlain Lane	Louisville	KY	Active
DSH180088FS	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Dupont MRI - Dupont MRI	3901 Dutchmans Lane	Louisville	KY	Active
DSH180088FT	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Medical Center - Radiology - Radiology	4910 Chamberlain Lane	Louisville	KY	Active
DSH180088FU	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Ultrasound - Ultrasound	231 East Chestnut Street	Louisville	KY	Active
DSH180088FV	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Prompt Care STM - Prompt Care STM	3991 Dutchmans Lane	Louisville	KY	Active
DSH180088FW	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Medical Center - Ultrasound - Ultrasound	4910 Chamberlain Lane	Louisville	KY	Active
DSH180088FX	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital - P Recovery - P Recovery	315 East Broadway Street	Louisville	KY	Active
DSH180088FY	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Day Surgery - Day Surgery	231 East Chestnut Street	Louisville	KY	Terminated
DSH180088FZ	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Clinics - Clinics	231 East Chestnut Street	Louisville	KY	Terminated
DSH180088G	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute-Shelbyville	Norton Cancer Institute	SHELBYVILLE	KY	Active
DSH180088GA	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - Pulmonary CDU - Pulmonary CDU	1 Audubon Plaza Drive	Louisville	KY	Terminated
DSH180088GB	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - Ultrasound - Ultrasound	1 Audubon Plaza Drive	Louisville	KY	Active
DSH180088GC	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Medical Center - MRI - MRI	4910 Chamberlain Lane	Louisville	KY	Active
DSH180088GD	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Fern Creek MRI - Fern Creek MRI	9344 Cedar Center Way	Louisville	KY	Active
DSH180088GE	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Fern Creek CAT Scan - Fern Creek CAT Scan	9344 Cedar Center Way	Louisville	KY	Active
DSH180088GF	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Dupont Nuclear Medicine - Dupont Nuclear Medicine	3901 Dutchmans Lane	Louisville	KY	Terminated
DSH180088GG	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Dixie Cardiac Rehab - Dixie Cardiac Rehab	4420 Dixie Highway	Louisville	KY	Active
DSH180088GH	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Pulmonary Lab - Pulmonary Lab	231 East Chestnut Street	Louisville	KY	Active
DSH180088GJ	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Dupont CAT Scan - Dupont CAT Scan	3901 Dutchmans Lane	Louisville	KY	Terminated
DSH180088GK	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Dixie Non-Invasive Cardiology - Dixie Non-Invasive Cardiology	4420 Dixie Highway	Louisville	KY	Active
DSH180088GL	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Sedation Team - Sedation Team	231 East Chestnut Street	Louisville	KY	Active
DSH180088GM	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital - Ultrasound - Ultrasound	4960 Norton Healthcare Blvd	Louisville	KY	Active
DSH180088GN	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Springs Non-Invasive Cardiology - Springs Non-Invasive Cardiology	6420 Dutchmans Parkway	Louisville	KY	Active
DSH180088GP	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Medical Center - Outpatient Observation Beds - Observation	4910 Chamberlain Lane	Louisville	KY	Terminated
DSH180088GQ	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Advanced Surgical Unit Outpatient Observation Bed - Advanced Surgical Unit	4001 Dutchmans Lane	Louisville	KY	Terminated
DSH180088GR	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's Hospital - Specialty Surgical Unit Outpatient Observation Beds - Specialty Surgical Unit	4001 Dutchmans Lane	Louisville	KY	Terminated
DSH180088GS	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center Brownsboro - Breast Health Center - Breast Health Center	4950 Norton Healthcare Blvd.	Louisville	KY	Terminated
DSH180088GT	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center Brownsboro - CT Scan - CT Scan	4950 Norton Healthcare Blvd	Louisville	KY	Terminated
DSH180088GU	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Brownsboro Radiation Center - Brownsboro Radiation Center	4955 Norton Healthcare Blvd	Louisville	KY	Terminated
DSH180088GV	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - Breast Diagnostics - Breast Diagnostics	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088GW	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Multidisciplinary Clinic - St. Matthews - Multidisciplinary Clinic - St. Matthews	3991 Dutchmans Lane	Louisville	KY	Active
DSH180088GX	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Breast Center Brownsboro - Breast Center	4915 Norton Healthcare Blvd	Louisville	KY	Active
DSH180088GY	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Prompt Care Pavilion - Prompt Care Pavilion	315 E. Broadway St.	Louisville	KY	Terminated
DSH180088GZ	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute Breast Health - Brownsboro - Norton Cancer Institute Breast Health - Brownsboro	4915 Norton Healthcare Blvd	Louisville	KY	Terminated
DSH180088H	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute-Jeffersonville	Norton Cancer Institute	JEFFERSONVILLE	IN	Active
DSH180088HA	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - Pulmonary Lab - Norton Audubon Hospital - Pulmonary Lab	1 Audubon Plaza Drive	Louisville	KY	Terminated
DSH180088HB	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Prompt Care Downtown - Norton Cancer Institute - Prompt Care Downtown	234 E Gray Street	Louisville	KY	Active
DSH180088HC	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital - Pulmonary Lab - Norton Brownsboro Hospital - Pulmonary Lab	4960 Norton Healthcare Blvd	Louisville	KY	Terminated
DSH180088HD	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital - PAV Ultrasound - Norton Hospital - PAV Ultrasound	315 E. Broadway St	Louisville	KY	Terminated
DSH180088HE	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital - Cardiology - Norton Brownsboro Hospital - Cardiology	4960 Norton Healthcare Blvd	Louisville	KY	Active
DSH180088HF	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Brownsboro Ultrasound - Norton Diagnostic Center - Brownsboro Ultrasound	4915 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088HG	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Brownsboro CT Scan - Brownsboro CT Scan	4915 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088HH	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Brownsboro MRI - Norton Diagnostic Center - Brownsboro MRI	4915 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088HJ	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Brownsboro Radiology - Norton Diagnostic Center - Brownsboro Radiology	4915 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088HK	Child	DSH	NORTON HOSPITALS, INC	Norton Diagnostic Center - Brownsboro Health Center - Brownsboro Breast Health Center - Norton Diagnostic Center - Brownsboro Breast Health Center	4915 Norton Healthcare Blvd.	Louisville	KY	Active
DSH180088HL	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Pediatric Oncology/Hematology Clinic - Pediatric Oncology/Hematology Clinic	411 East Chestnut St.	Louisville	KY	Active
DSH180088HM	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - 2 West-Observation Beds - 2- West-Observation Beds	1 Audubon Plaza Dr.	Louisville	KY	Terminated
DSH180088HN	Child	DSH	NORTON HOSPITALS, INC	Infectious Disease - Downtown - OPC INFECT DIS SPEC DT	601 South Floyd St	Louisville	KY	Active
DSH180088HP	Child	DSH	NORTON HOSPITALS, INC	Behavioral Oncology - St Matthews - NCI BEHAVE HLTH EDC SM	3991 Dutchmans Lane	Louisville	KY	Active
DSH180088HQ	Child	DSH	NORTON HOSPITALS, INC	Behavioral Oncology - Jeffersonville - NCI BEHAVE HLTH JEFF	301 Gordon Gutmann Blvd	Jeffersonville	IN	Active
DSH180088HR	Child	DSH	NORTON HOSPITALS, INC	Norton Multispecialty Clinic - OPC MULTI CLINIC	3991 Dutchmans Lane	Louisville	KY	Active
DSH180088HS	Child	DSH	NORTON HOSPITALS, INC	Behavioral Oncology - Audubon - NCI BEHAVE HLTH AUD	2355 Poplar Level Rd	Louisville	KY	Active
DSH180088HT	Child	DSH	NORTON HOSPITALS, INC	Behavioral Oncology - Brownsboro - NCI BEHAVE HLTH NBH	4955 Norton Healthcare Blvd	Louisville	KY	Active
DSH180088HU	Child	DSH	NORTON HOSPITALS, INC	Behavioral Oncology - Rad Downtown - NCI BEHAVE HLTH RAD DT	676 South Floyd St	Louisville	KY	Active
DSH180088HV	Child	DSH	NORTON HOSPITALS, INC	Infectious Disease - Brownsboro - OPC INFECTIOUS DISEASE	4950 Norton Healthcare Blvd	Louisville	KY	Active
DSH180088HW	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital Pavilion - Breast Center - Pav Mammography	315 E Broadway	Louisville	KY	Active
DSH180088HX	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital Ultrasound -Peds Novak - Peds Ultrasound	411 E Chestnut Street	Louisville	KY	Active
DSH180088HY	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital Radiology -Peds Novak - Peds OP Radiology	411 E Chestnut Street	Louisville	KY	Active
DSH180088HZ	Child	DSH	NORTON HOSPITALS, INC	Norton Women's and Children's - Breast Diagnostics - Mammography	4001 Dutchmans Lane	Louisville	KY	Active
DSH180088J	Child	DSH	NORTON HOSPITALS, INC	DBA NORTON BROWNSBORO HOSPITAL	4960 NORTON HEALTHCARE BLVD	LOUISVILLE	KY	Terminated
DSH180088JA	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital - Breast Health Center - Mammography	4960 Norton Healthcare Blvd	Louisville	KY	Active
DSH180088JB	Child	DSH	NORTON HOSPITALS, INC	Norton Brownsboro Hospital - Interventional Radiation - Interventional Rad	4960 Norton Healthcare Blvd	Louisville	KY	Active
DSH180088JC	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital Pavilion - Adult CT Scan - Pav CT Scan	315 E Broadway	Louisville	KY	Active
DSH180088JD	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital Pavilion - Positron Emission Tomography - Pav Pet Scan	315 E Broadway	Louisville	KY	Active
DSH180088JE	Child	DSH	NORTON HOSPITALS, INC	Norton Audubon Hospital - Respiratory Therapy - Respiratory Therapy	1 Audubon Plaza Drive	Louisville	KY	Active
DSH180088JF	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital Pulmonary Lab -Peds Novak - Peds OP Pulmonary Lab	411 E Chestnut Street	Louisville	KY	Active
DSH180088JG	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital Cardiology -Peds Novak - OP Cariology	411 E Chestnut Street	Louisville	KY	Active
DSH180088JH	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital Neurodiagnostics -Peds Novak - Peds Neurodiagnostic	411 E Chestnut Street	Louisville	KY	Active
DSH180088JJ	Child	DSH	NORTON HOSPITALS, INC	OPC Rheumatology Spec - St Matthew - Rheumatology Spec - St Matthew	3991 Dutchmans Lane	Louisville	KY	Active
DSH180088JK	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Women's Cancer MTS - Women's Cancer MTS	234 E Gray Street	Louisville	KY	Active
DSH180088JL	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute - Radiation Therapy - Radiation CTR SM	4123 Dutchmans Lane	Louisville	KY	Active
DSH180088JM	Child	DSH	NORTON HOSPITALS, INC	Norton Hospital Pavilion - MRI - Pav MRI	315 E Broadway	Louisville	KY	Active
DSH180088K	Child	DSH	NORTON HOSPITALS, INC	Norton Cancer Institute-Corydon	1263 HOSPITAL DRIVE NW	CORYDON	IN	Active
DSH180088L	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Medical Center	4910 CHAMBERLAIN LANE	LOUISVILLE	KY	Terminated
DSH180088M	Child	DSH	NORTON HOSPITALS, INC	NORTON DIAGNOSTIC CENTER - FERN CREEK	9344 CEDAR CENTER WAY	LOUISVILLE	KY	Terminated
DSH180088N	Child	DSH	NORTON HOSPITALS, INC	NORTON DIAGNOSTIC CENTER - DUPONT	3901 DUTCHMANS LANE	LOUISVILLE	KY	Active
DSH180088P	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Ambulatory Preop & Postop	231 East Chestnut St.	Louisville	KY	Active
DSH180088Q	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Surgery	231 East Chestnut St.	Louisville	KY	Active
DSH180088R	Child	DSH	NORTON HOSPITALS, INC	Kosair Children's Hospital-Anesthesia	231 East Chestnut St.	Louisville	KY	Terminated
DSH180088S	Child	DSH	NORTON HOSPITALS, INC	Kosair Children's Hospital-Post Anesthesia Care	231 East Chestnut St.	Louisville	KY	Terminated
DSH180088T	Child	DSH	NORTON HOSPITALS, INC	Kosair Children's Hospital-Ultrasound	231 East Chestnut St.	Louisville	KY	Terminated
DSH180088U	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Radiology	231 East Chestnut St.	Louisville	KY	Active
DSH180088V	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Nuclear Medicine	231 East Chestnut St.	Louisville	KY	Active
DSH180088W	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - CT Scan	231 East Chestnut St.	Louisville	KY	Active
DSH180088X	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - MRI	231 East Chestnut St.	Louisville	KY	Active
DSH180088Y	Child	DSH	NORTON HOSPITALS, INC	Kosair Children's Hospital-Pulmonary Lab	231 East Chestnut St.	Louisville	KY	Terminated
DSH180088Z	Child	DSH	NORTON HOSPITALS, INC	Norton Children's Hospital - Interventional Radiology	231 East Chestnut St.	Louisville	KY	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	10/1/2024 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		8/30/2024 12:00:00 AM	8/30/2024 8:09 AM
Details	State	Update	Recertification	Active	To Be Terminated	8/30/2024 8:09 AM
Terminations	Termination Date	Update	Recertification		10/1/2024 12:00:00 AM	8/30/2024 8:09 AM
Terminations	Termination Effective Date	Update	Recertification		9/1/2024 12:00:00 AM	8/30/2024 8:09 AM
Terminations	Termination Reason	Update	Recertification		Business decision by the Covered Entity	8/30/2024 8:09 AM
Contacts	Primary Contact	Update	PC Change Request	Allen, William Sys AVP Pharmacy Norton Hospitals, Inc. 5026297076	Castle, Amanda VP, Pharmacy Services Norton Hospitals, Inc 5025591364	8/23/2024 7:56 AM
Contacts	Authorizing Official	Update	Profile Change Request	Kempf, Adam David CFO Norton Healthcare 5022402255	Kempf, Adam David CFO Norton Healthcare 5024202255	8/8/2024 4:05 PM
Details	Last Recertification Date	Update	Recertification	9/1/2022 2:15:11 PM	8/18/2023 4:39:08 PM	8/18/2023 4:39 PM
Details	Last Recertification Date	Update	Recertification	8/18/2021 10:08:33 AM	9/1/2022 2:15:11 PM	9/1/2022 2:15 PM
Details	Last Recertification Date	Update	Recertification	8/25/2020 4:42:11 PM	8/18/2021 10:08:33 AM	8/18/2021 10:08 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1952307027 ( )		8/25/2020 4:42 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1952307027	8/25/2020 4:42 PM
Medicaid Billing	NPI: State	Insert	Recertification		KY	8/25/2020 4:42 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1952307027	8/25/2020 4:42 PM
Medicaid Billing	NPI: State	Insert	Recertification		IN	8/25/2020 4:42 PM
Details	Last Recertification Date	Update	Recertification	8/21/2019 10:29:03 AM	8/25/2020 4:42:11 PM	8/25/2020 4:42 PM
Details	Last Recertification Date	Update	Recertification	8/16/2018 11:10:08 AM	8/21/2019 10:29:03 AM	8/21/2019 10:29 AM
Contacts	Authorizing Official	Update	AO Change Request	GOUGH, MICHAEL W. CHIEF FINANCIAL OFFICER Norton Hospital Inc 5024202212	Kempf, Adam David CFO Norton Healthcare 5022402255	9/27/2018 6:49 AM
Details	Last Recertification Date	Update	Recertification	11/15/2017 1:34:31 PM	8/16/2018 11:10:08 AM	8/16/2018 11:10 AM
Details	Last Recertification Date	Update	Recertification	8/26/2016 12:00:00 AM	11/15/2017 1:34:31 PM	11/15/2017 1:34 PM
Contacts	Authorizing Official	Update		GOUGH, MICHAEL W. CHIEF FINANCIAL OFFICER 5024202212	GOUGH, MICHAEL W. CHIEF FINANCIAL OFFICER Norton Hospital Inc 5024202212	11/6/2017 11:09 AM
Contacts	Signed By	Update		GOUGH, MICHAEL W. CHIEF FINANCIAL OFFICER 5024202212	GOUGH, MICHAEL W. CHIEF FINANCIAL OFFICER Norton Hospital Inc 5024202212	11/6/2017 11:09 AM
Contacts	Primary Contact	Update		Allen, William Sys AVP Pharmacy 5026297076	Allen, William Sys AVP Pharmacy Norton Hospitals, Inc. 5026297076	9/29/2017 11:14 AM
Contacts	Authorizing Official	Insert			GOUGH, MICHAEL W. CHIEF FINANCIAL OFFICER 5024202212	8/9/2017 12:55 PM
Contacts	Signed By	Insert			GOUGH, MICHAEL W. CHIEF FINANCIAL OFFICER 5024202212	8/9/2017 12:55 PM
Contacts	Primary Contact	Insert			Allen, William Sys AVP Pharmacy 5026297076	8/7/2017 4:32 PM
Addresses	Main Address	Insert			4420 Dixie Highway Suite 120 Louisville, KY 40216	8/7/2017 4:32 PM
Details	Last Recertification Date	Update		8/13/2015 12:00:00 AM	8/26/2016 12:00:00 AM	8/26/2016 1:02 PM
Details	Last Recertification Date	Update		8/8/2014 12:00:00 AM	8/13/2015 12:00:00 AM	8/13/2015 4:23 PM
Details	Last Recertification Date	Update			8/8/2014 12:00:00 AM	8/8/2014 11:53 AM
Details	340B ID	Update		ISJMDSH180088CD	DSH180088CD	8/30/2013 11:36 AM
Dates	Participating Approval Date	Update			8/30/2013 12:00:00 AM	8/30/2013 11:36 AM
Details	State	Update		Pending	Active	8/30/2013 11:36 AM
Dates	Start Date	Update			10/1/2013 12:00:00 AM	8/30/2013 11:36 AM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG	ISJMDSH180088CD	8/20/2013 7:00 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	7/10/2013 3:40 PM
Medicaid Billing	Medicaid: Number	Insert			01012764	7/10/2013 3:40 PM
Medicaid Billing	Medicaid: State	Insert			KY	7/10/2013 3:40 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	7/10/2013 3:40 PM
Medicaid Billing	Medicaid: Number	Insert			100037530	7/10/2013 3:40 PM
Medicaid Billing	Medicaid: State	Insert			IN	7/10/2013 3:40 PM
Medicaid Billing	NPI: Number	Insert			1952307027	7/10/2013 3:40 PM
Details	Last Recertification Date	Insert				7/10/2013 3:40 PM
Details	Grant Number	Insert				7/10/2013 3:40 PM
Details	340B ID	Insert			OUTPATIENT_ONLINE_REG	7/10/2013 3:40 PM
Details	Is Authorizing Official EHB Data	Insert				7/10/2013 3:40 PM
Dates	Last Date That 340B Drugs Purchased	Insert				7/10/2013 3:40 PM
Details	Medicare Provider Number	Insert			180088	7/10/2013 3:40 PM
Details	Entity Name	Insert			NORTON HOSPITALS, INC	7/10/2013 3:40 PM
Details	Program Code	Insert			DSH	7/10/2013 3:40 PM
Details	Entity Subname	Insert			Norton Cardiovascular Diagnostic Center - Dixie	7/10/2013 3:40 PM
Dates	Participating Approval Date	Insert				7/10/2013 3:40 PM
Details	State	Insert			Pending	7/10/2013 3:40 PM
Dates	Registration Date	Insert			7/10/2013 12:00:00 AM	7/10/2013 3:40 PM
Dates	Signed By Date	Insert			7/10/2013 12:00:00 AM	7/10/2013 3:40 PM
Dates	Start Date	Insert				7/10/2013 3:40 PM
Terminations	Termination Comments	Insert				7/10/2013 3:40 PM
Terminations	Termination Date	Insert				7/10/2013 3:40 PM
Terminations	Termination Effective Date	Insert				7/10/2013 3:40 PM
Terminations	Termination Reason	Insert				7/10/2013 3:40 PM