# BAPTIST HEALTH MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Metropolis Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831794395
- **Authorized official:** DANYEL D CLAY (EXECUTIVE DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (502) 253-4911

## Contact information

- **Practice address:** 1203 W 10TH ST, METROPOLIS, IL 62960-2433
- **Practice address phone:** (618) 524-3795
- **Practice address fax:** (618) 524-3211
- **Mailing address:** 5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
- **Mailing address phone:** (502) 253-4911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2020
- **Last updated:** 12/02/2020
