Organization
OAK TREE HOSPITAL AT BAPTIST NORTHEAST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE MURRELL (CHIEF EXECUTIVE OFFICER)
(502) 222-8506
Entity
Organization
Contact information
Practice address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-8506
(502) 222-8526
Mailing address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-8506
(502) 222-8526
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000496468
ANTHEM BLUE CROSS AND BLUE SHIELD
KY
05
—
01000462
—
KY
01
—
2861023000
PASSPORT ADVANTAGE
KY
01
—
50015894
PASSPORT
KY
Enumeration date
05/10/2006
Last updated
05/27/2008
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