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Organization

BAPTIST HEALTH MEDICAL GROUP INC

Active
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Organization

BAPTIST HEALTH MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANYEL D CLAY (VICE PRESIDENT, REVENUE CYCLE)
(502) 253-4911
Entity
Organization

Contact information

Practice address
2763 CENTENNIAL AVE, RADCLIFF, KY 40160
(502) 253-4911
Mailing address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—

Other

Enumeration date
11/18/2024
Last updated
06/30/2025
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