# BAPTIST HEALTH MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1548664667
- **Authorized official:** DANYEL D CLAY (DIRECTOR REVENUE CYCLE MANAGEMENT)
- **Authorized official phone:** (502) 253-4911

## Contact information

- **Practice address:** 4071 TATES CREEK CENTRE DR, STE 202, LEXINGTON, KY 40517-3062
- **Practice address phone:** (859) 260-4390
- **Practice address fax:** (859) 260-4399
- **Mailing address:** 2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
- **Mailing address phone:** (502) 253-4900
- **Mailing address fax:** (502) 489-5751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 01/22/2018
