MEDICARE: BAPTIST HEALTH MADISONVILLE INC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	1041C0700X	Clinical Social Worker
3	152W00000X	Optometrist
4	207L00000X	Anesthesiology Physician
5	207P00000X	Emergency Medicine Physician
6	207Q00000X	Family Medicine Physician
7	207R00000X	Internal Medicine Physician
8	207V00000X	Obstetrics & Gynecology Physician
9	207W00000X	Ophthalmology Physician
10	207X00000X	Orthopaedic Surgery Physician
11	208000000X	Pediatrics Physician
12	231H00000X	Audiologist
13	237700000X	Hearing Instrument Specialist
14	363A00000X	Physician Assistant
15	282N00000X	General Acute Care Hospital

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1669452967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST HEALTH MADISONVILLE INC

Provider Business Mailing Address
First Line	:	900 HOSPITAL DR
Second Line	:
City	:	MADISONVILLE
State	:	KY
Zip	:	42431-1644
Country	:	US
Telephone Number	:	270-825-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 HOSPITAL DR
Second Line	:
City	:	MADISONVILLE
State	:	KY
Zip	:	42431-1644
Country	:	US
Telephone Number	:	270-825-5100
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. RICHARD CARRICO
Credential	:
Telephone Number	:	502-896-5006

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	08/31/2023

900 HOSPITAL DR FL 5
MADISONVILLE, KY
42431-1644

Practice Phone: 270-825-5100
Practice Fax: