Organization
BAPTIST HEALTH MADISONVILLE INC
Active
Other names
BAPTIST HEALTH MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CARRICO (CFO)
(502) 896-5006
Entity
Organization
Contact information
Practice address
215 E MAIN ST, PROVIDENCE, KY 42450-1261
(270) 667-7017
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-5100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3753
MEDICARE GROUP #
—
Enumeration date
02/23/2007
Last updated
09/18/2023
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