Organization
WESTERN BAPTIST MEDICAL VENTURES INC
Active
Parent organization
WESTERN BAPTIST MEDICAL VENTURES INC
Other names
BAPTIST HEART GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN BAPTIST MEDICAL VENTURES INC
Authorized official
PATRICIA K HARROD (DIRECTOR OF PHYSICIAN INTEGRATION)
(270) 575-8362
Entity
Organization
Contact information
Practice address
2601 KENTUCKY AVE, SUITE 301, PADUCAH, KY 42003-3817
(270) 575-3113
(270) 575-3588
Mailing address
PO BOX 7309, PADUCAH, KY 42002-7309
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
19484
KY
207RC0000X
Cardiovascular Disease Physician
26428
KY
207RC0000X
Cardiovascular Disease Physician
27146
KY
207RC0000X
Cardiovascular Disease Physician
43907
KY
207RC0000X
Cardiovascular Disease Physician
44104
KY
207RI0011X
Interventional Cardiology Physician
19484
—
207RI0011X
Interventional Cardiology Physician
27146
KY
207UN0901X
Nuclear Cardiology Physician
43907
KY
363A00000X
Physician Assistant
PA1037
KY
363AM0700X
Medical Physician Assistant
PA1037
KY
363AM0700X
Medical Physician Assistant
PA1145
KY
363AM0700X
Medical Physician Assistant
PA1602
KY
363LA2100X
Acute Care Nurse Practitioner
3004694
KY
363LA2100X
Acute Care Nurse Practitioner
3005812
KY
364SA2200X
Adult Health Clinical Nurse Specialist
3006573
KY
Other
Enumeration date
12/18/2012
Last updated
04/25/2013
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