Organization
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC
Active
Organization
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC
Active
Other names
Powderly RHC
Organization subpart
No
Provider details
NPI number
Authorized official
DANYEL D CLAY (EXECUTIVE DIRECTOR REVENUE CYCLE)
(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
2701 EASTPOINT PKWY, LOUISVILLE, KY 40223-4166
(502) 253-4911
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/21/2021
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