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NPI Code Detail

MEDICARE: BAPTIST HEALTH MEDICAL GROUP INC

MEDICARE: BAPTIST HEALTH MEDICAL GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225100000XPhysical Therapist
3363L00000XNurse Practitioner
4363A00000XPhysician Assistant
5261QX0100XOccupational Medicine Clinic/Center
6261QP2000XPhysical Therapy Clinic/Center
7225X00000XOccupational Therapist
8261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1508269200
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST HEALTH MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 1901 CAMPUS PL
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2308
Country : US
Telephone Number : 502-253-4911
Fax Number :
Provider Business Practice Location Address
First Line : 1901 CAMPUS PL
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2308
Country : US
Telephone Number : 502-253-4911
Fax Number :
Authorized Official
Title or Position : VICE PRESIDEDNT, REVENUE CYCLE
Name : DANYEL D CLAY
Credential :
Telephone Number : 502-253-4911
Provider Enumeration Date : 10/08/2014
Last Update Date : 06/02/2026

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2308 RENO DR
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Directions to “BAPTIST HEALTH MEDICAL GROUP INC ” Practice Location

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