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DSH180088E NORTON HOSPITALS, INC. (Terminated)
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Main Details
Name
NORTON HOSPITALS, INC.
Subdivision Name
NORTON SUBURBAN HOSPITAL
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180088E
Medicare Provider Number
180088
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
5/29/2007
Participating Start Date
1/1/2004
Participating Approval Date
5/29/2007
Last Recertification Date
8/26/2016
Termination Date
Termination Reason
10/1/2017
Site closure
Contacts
Authorizing Official
Norton Healthcare
Adam David Kempf, CFO
(502) 420-2255
Primary Contact
Norton Hospitals, Inc.
William Allen, Sys AVP Pharmacy
(502) 629-7076
Addresses
Street Address
4001 DUTCHMAN'S LANE
LOUISVILLE, KY 40207
Billing Address
315 E Broadway STE 50
Louisville, KY 40202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/19/10 ADDED SHIP TO ADDR.
11/19/2010
2/13/12 add new billing address and PC change to Wm Paul Allen
05/29/2007
April 2025
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