Organization
BAPTIST HEALTHCARE AFFILIATES, INC
Active
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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