# BAPTIST HEALTH SURGERY CENTER BRECKENRIDGE LLC

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

## Provider details

- **NPI number:** 1710688627
- **Authorized official:** MR. RICHARD CARRICO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (502) 896-5008

## Contact information

- **Practice address:** 2800 BRECKENRIDGE LN STE 500, LOUISVILLE, KY 40220-1402
- **Practice address phone:** (502) 928-0050
- **Practice address fax:** (502) 928-0059
- **Mailing address:** 1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
- **Mailing address phone:** (502) 896-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/16/2023
- **Last updated:** 05/28/2025