Healthcare Provider Details

I. General information

NPI: 1215545777
Provider Name (Legal Business Name): BAPTIST HEALTHCARE SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2020
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 N DIXIE AVE
ELIZABETHTOWN KY
42701-2503
US

IV. Provider business mailing address

1901 CAMPUS PL
LOUISVILLE KY
40299-2308
US

V. Phone/Fax

Practice location:
  • Phone: 270-737-1212
  • Fax: 270-706-1141
Mailing address:
  • Phone: 502-896-5000
  • Fax: 502-896-5097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: RICHARD CARRICO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 502-896-5006