Organization
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC
Active
Other names
MADISONVILLE PEDIATRICS 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 2, MADISONVILLE, KY 42431-1661
(270) 825-7328
(270) 825-6666
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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