Organization
BAPTIST HEALTH MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM ASHBY (BH MADISONVILLE VICE PRESIDENT)
(270) 825-5781
Entity
Organization
Contact information
Practice address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 377-1600
(370) 338-0229
Mailing address
2700 STANLEY GAULT PKWY, SUITE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900201
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35002054
—
KY
05
—
64017379
—
KY
05
—
78007218
—
KY
05
—
78900842
—
KY
Enumeration date
05/30/2007
Last updated
05/25/2017
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