Organization
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC
Active
Other names
MADISONVILLE FAM MED 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 3, MADISONVILLE, KY 42431-1661
(270) 825-7214
(270) 825-6685
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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