Healthcare Provider Details
I. General information
NPI: 1922004779
Provider Name (Legal Business Name): BAPTIST HEALTHCARE SYSTEM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/27/2005
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
203 B FAIRGROUNDS ROAD
HARDINSBURG KY
40143-2585
US
IV. Provider business mailing address
1901 CAMPUS PL
LOUISVILLE KY
40299-2308
US
V. Phone/Fax
- Phone: 270-756-2662
- Fax: 270-756-6401
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 610525158 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | KY150121 |
| License Number State | KY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | KY |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | KY150121 |
| License Number State | KY |
VIII. Authorized Official
Name: MR.
RICHARD
CARRICO
Title or Position: CFO
Credential:
Phone: 502-896-5006