# BAPTIST HEALTH MADISONVILLE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BAPTIST HEALTH MEDICAL ASSOCIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194850420
- **Authorized official:** RICHARD CARRICO (CFO)
- **Authorized official phone:** (502) 896-5006

## Contact information

- **Practice address:** 215 E MAIN ST, PROVIDENCE, KY 42450-1261
- **Practice address phone:** (270) 667-7017
- **Mailing address:** 900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
- **Mailing address phone:** (270) 825-5100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 09/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3753 | MEDICARE GROUP \# | — |