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General NPI Number Information
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NPI Number | 1942134747
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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 | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 101 STONECREST RD STE 1
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City | SHELBYVILLE
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State | KY
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Zip | 40065-8169
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Country | US
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Telephone | 502-633-2233
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Fax | 502-633-3833
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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 | 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 | 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 #2
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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 #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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