Organization
BAPTIST HEALTH MADISONVILLE INC
Active
Other names
BAPTIST HEALTH MEDICAL ASSOCIATES LAB
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CARRICO (CFO)
(502) 896-5006
Entity
Organization
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-7200
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061958
BCBS GROUP NUMBER
KY
05
—
37903572
—
KY
Enumeration date
11/16/2007
Last updated
09/18/2023
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