Basic Information
| Provider Information | |||||||||
| NPI: | 1164664975 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NORTON HOSPITALS INC | ||||||||
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| OtherOrganizationName: | NORTON CANCER INSTITUTE RADIATION CENTER NORTHEAST | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 315 E BROADWAY | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402023700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5026292500 | ||||||||
| FaxNumber: | 5026292055 | ||||||||
| Practice Location | |||||||||
| Address1: | 2401 TERRA CROSSING BLVD | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 40245 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5024231456 | ||||||||
| FaxNumber: | 5025842089 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2009 | ||||||||
| LastUpdateDate: | 07/13/2012 | ||||||||
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| AuthorizedOfficialLastName: | GOUGH | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | W | ||||||||
| AuthorizedOfficialTitleorPosition: | CFO/SYSTEM VICE PRESIDENT OPERATION | ||||||||
| AuthorizedOfficialTelephone: | 5026298326 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QX0203X | Y | Ambulatory Health Care Facilities | Clinic/Center | Oncology, Radiation |
No ID Information.