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General NPI Number Information
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NPI Number | 1902996994
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Entity Type | Organization
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Legal Business Name | BAPTIST HEALTHCARE SYSTEM, INC.
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 950 BRECKENRIDGE LN STE 110
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City | LOUISVILLE
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State | KY
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Zip | 40207-4687
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Country | US
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Telephone | 502-454-5656
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Fax | 502-454-0374
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Provider Business Mailing Address
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Address Line | 950 BRECKENRIDGE LN STE 110
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City | LOUISVILLE
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State | KY
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Zip | 40207-4687
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Country | US
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Telephone | 502-454-5656
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Fax | 502-454-0374
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | RICHARD CARRICO
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Credential |
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Telephone | 502-896-5006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 150085
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License Number State | KY
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