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Organization

BAPTIST HEALTH MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DANYEL D CLAY (VICE PRESIDENT REVENUE CYCLE)
(502) 253-4911
Entity
Organization

Contact information

Practice address
2413 RING RD STE 100, ELIZABETHTOWN, KY 42701-5924
(270) 737-0077
(270) 706-5549
Mailing address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
(502) 253-4911

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
207R00000X
Internal Medicine Physician
Primary
2084P0800X
Psychiatry Physician
2085P0229X
Pediatric Radiology Physician
213E00000X
Podiatrist
225100000X
Physical Therapist
231H00000X
Audiologist
261Q00000X
Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
261QP2300X
Primary Care Clinic/Center
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
05/19/2020
Last updated
07/10/2024
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