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General NPI Number Information
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NPI Number | 1811648827
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Entity Type | Organization
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Legal Business Name | BAPTIST HEALTH MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 3516 E 10TH ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-9315
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Country | US
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Telephone | 502-981-8970
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 CAMPUS PL
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City | LOUISVILLE
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State | KY
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Zip | 40299-2308
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Country | US
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Telephone | 502-253-4911
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Fax |
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | MRS. DANYEL D CLAY
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Credential |
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Telephone | 502-253-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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