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Organization

BAPTIST HEALTH DEACONESS MEDICAL GROUP INC

Active
Other names
MADISONVILLE ENDO RHC
Organization subpart
No

Provider details

NPI number
Authorized official
DANYEL CLAY (EXECUTIVE DIRECTOR REVENUE CYCLE)
(502) 253-4911
Entity
Organization

Contact information

Practice address
200 CLINIC DR FL 4, MADISONVILLE, KY 42431-1661
(270) 825-7737
(270) 825-7378
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4911

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
05/12/2021
Last updated
05/12/2021
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