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Organization

BAPTIST HEALTH MEDICAL GROUP

Active
Other names
Baptist Health Medical Group Primary Care Alycia
Organization subpart
No

Provider details

NPI number
Authorized official
DANYEL D CLAY (VICE PRESIDENT, REVENUE CYCLE)
(502) 253-4911
Entity
Organization

Contact information

Practice address
103 ALYCIA DR, RICHMOND, KY 40475-2368
(859) 624-6515
(859) 624-6514
Mailing address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
(502) 253-4911

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
11/15/2024
Last updated
10/23/2025
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