Organization
BAPTIST HEALTH MEDICAL GROUP INC
Active
Parent organization
BAPTIST HEALTH MEDICAL GROUP INC
Other names
Dawson Springs Rural Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST HEALTH MEDICAL GROUP INC
Authorized official
DANYEL D CLAY (DIRECTOR REVENUE CYCLE)
(502) 253-4911
Entity
Organization
Contact information
Practice address
225 INDUSTRIAL PARK RD, DAWSON SPRINGS, KY 42408-2423
(270) 797-3521
(270) 797-3292
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4911
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-7390
MEDICARE
—
Enumeration date
01/21/2019
Last updated
01/24/2020
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