Organization
BAPTIST HEALTH DEACONESS MADISONVILLE INC
Active
Organization
BAPTIST HEALTH DEACONESS MADISONVILLE INC
Active
Other names
Baptist Health Deaconess Hospice, Baptist Health Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CARRICO (CHIEF FINANCIAL OFFICER)
(502) 896-5006
Entity
Organization
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 326-4660
(270) 326-4669
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 836-4660
(270) 326-4669
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054633
ANTHEM PROVIDER NUMBER
KY
05
—
44001758
—
KY
Enumeration date
02/09/2007
Last updated
08/31/2023
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