Organization
BAPTIST HEALTH MEDICAL GROUP INC
Active
Organization
BAPTIST HEALTH MEDICAL GROUP INC
Active
Other names
Rural Health Clinic Barbourville
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANYEL D CLAY (VP REVENUE CYCLE)
(502) 253-4911
Entity
Organization
Contact information
Practice address
602 KNOX ST, BARBOURVILLE, KY 40906-1304
(606) 546-6027
(606) 546-2084
Mailing address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
(502) 253-4911
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-8935
MEDICARE
KY
05
—
7100315380
—
KY
Enumeration date
06/29/2018
Last updated
07/22/2024
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