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Organization

BAPTIST MEDICAL MANAGEMENT SERVICES INC

Active
Other names
BAPTIST HEALTH EXPRESS CARE
Organization subpart
No

Provider details

NPI number
Authorized official
E BERTON WHITAKER (CEO)
(270) 825-5979
Entity
Organization

Contact information

Practice address
300 CLINIC DR, HOPKINSVILLE, KY 42240-4989
(270) 707-4262
(270) 707-4280
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-7200

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
KY
363LF0000X
Family Nurse Practitioner
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100149860
KY
05
7100192750
KY
Enumeration date
06/24/2011
Last updated
04/24/2013
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