Organization
WESTERN BAPTIST MEDICAL VENTURES INC
Active
Parent organization
WESTERN BAPTIST MEDICAL VENTURES INC
Other names
BAPTIST HEALTH PRIME CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN BAPTIST MEDICAL VENTURES INC
Authorized official
PATRICIA HARROD (DIRECTOR OF PHYSICIAN INTEGRATION)
(270) 575-8362
Entity
Organization
Contact information
Practice address
2601 KENTUCKY AVE, SUITE 103, PADUCAH, KY 42003-3817
(270) 443-4311
(270) 443-4145
Mailing address
PO BOX 7309, PADUCAH, KY 42002-7309
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
KY
261QP2300X
Primary Care Clinic/Center
Primary
—
KY
363AM0700X
Medical Physician Assistant
PA588
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/16/2012
Last updated
10/12/2012
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