Organization
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC
Active
Organization
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC
Active
Other names
Occ Med
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANYEL CLAY (VP, REVENUE CYCLE & CODING)
(502) 253-4911
Entity
Organization
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7351
Mailing address
2701 EASTPOINT PKWY, LOUISVILLE, KY 40223-4166
(502) 253-4911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/12/2021
Last updated
08/16/2022
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