Organization
DO NOT USE
Active
Parent organization
BAPTIST COMMUNITY HEALTH SERVICES INC
Other names
Baptistworx
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST COMMUNITY HEALTH SERVICES INC
Authorized official
DAVID FRUM (VICE PRESIDENT)
(502) 238-2801
Entity
Organization
Contact information
Practice address
7092 DISTRIBUTION DR, SUITE E, LOUISVILLE, KY 40258-2893
(502) 935-9970
Mailing address
2600 STANLEY GAULT PKWY, SUITE 201, LOUISVILLE, KY 40223-4197
(502) 253-1035
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9538
MEDICARE GROUP
KY
Enumeration date
05/28/2008
Last updated
08/03/2010
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