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Organization

BAPTIST HEALTH MEDICAL GROUP INC

Active
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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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