Organization
DO NOT USE
Active
Organization
DO NOT USE
Active
Parent organization
BAPTIST COMMUNITY HEALTH SERVICES, INC
Other names
Baptistworx
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST COMMUNITY HEALTH SERVICES, INC
Authorized official
DAVID FRUM (VICE PRESIDENT)
(502) 238-2801
Entity
Organization
Contact information
Practice address
1775 ALYSHEBA WAY, LEXINGTON, KY 40509-9023
(859) 260-4530
Mailing address
2600 STANLEY GAULT PKWY, SUITE 201, LOUISVILLE, KY 40223-4197
(502) 253-1035
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00519
MEDICARE GROUP
KY
Enumeration date
05/21/2008
Last updated
08/03/2010
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