Organization
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANYEL D CLAY (VICE PRESIDENT)
(502) 253-4911
Entity
Organization
Contact information
Practice address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 377-1600
(270) 338-0229
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4900
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35002054
—
KY
Enumeration date
03/02/2007
Last updated
08/02/2022
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