# BAPTIST HEALTH MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265257901
- **Authorized official:** DANYEL D CLAY (VICE PRESIDENT, REVENUE CYCLE)
- **Authorized official phone:** (502) 253-4911

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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