Organization
BAPTIST HEALTHCARE AFFILIATES, INC
Active
Other names
Baptist Northeast Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ROTY (ADMINSTRATOR)
(502) 222-3329
Entity
Organization
Contact information
Practice address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-3894
Mailing address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-3894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50026499
PASSPORT
KY
05
—
7100104160
—
KY
Enumeration date
07/15/2009
Last updated
12/13/2011
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