# BAPTIST HEALTH MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAPTIST HEALTH MEDICAL GROUP INC
- **Other names:** Corydon Rural Health Center, Baptist Health Medical Group Primary Care Palmyra
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174091771
- **Legal business name:** BAPTIST HEALTH MEDICAL GROUP INC
- **Authorized official:** MATTHEW LAZARI (VICE PRESIDENT)
- **Authorized official phone:** (502) 489-8668

## Contact information

- **Practice address:** 691 MAIN ST NE, PALMYRA, IN 47164-8894
- **Practice address phone:** (812) 364-4669
- **Practice address fax:** (812) 364-4783
- **Mailing address:** 1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
- **Mailing address phone:** (502) 253-4911
- **Mailing address fax:** (502) 253-5752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/13/2018
- **Last updated:** 09/23/2026