Healthcare Provider Details

I. General information

NPI: 1902996994
Provider Name (Legal Business Name): BAPTIST HEALTHCARE SYSTEM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 BRECKENRIDGE LN STE 110
LOUISVILLE KY
40207-4687
US

IV. Provider business mailing address

950 BRECKENRIDGE LN STE 110
LOUISVILLE KY
40207-4687
US

V. Phone/Fax

Practice location:
  • Phone: 502-454-5656
  • Fax: 502-454-0374
Mailing address:
  • Phone: 502-454-5656
  • Fax: 502-454-0374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number150085
License Number StateKY

VIII. Authorized Official

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