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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