Organization
WESTERN BAPTIST MEDICAL VENTURES, INC
Active
Parent organization
WESTERN BAPTIST MEDICAL VENTURES, INC
Other names
BAPTIST HEALTH EMERGENCY PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN BAPTIST MEDICAL VENTURES, INC
Authorized official
PAT HARROD (DIRECTOR OF PHYSICIAN INTEGRATION)
(270) 575-8362
Entity
Organization
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2180
(270) 575-8479
Mailing address
PO BOX 7309, PADUCAH, KY 42002-7309
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
1635
KY
363A00000X
Physician Assistant
PA1738
KY
363AM0700X
Medical Physician Assistant
PA1142
KY
363AS0400X
Surgical Physician Assistant
PA962
KY
363LF0000X
Family Nurse Practitioner
3003122
KY
363LF0000X
Family Nurse Practitioner
3005990
KY
Other
Enumeration date
07/10/2012
Last updated
12/06/2012
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