MEDICARE: BAPTIST COMMUNITY HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	29002	KY

General Provider Information

NPI Number	:	1144524802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST COMMUNITY HEALTH SERVICES

Provider Business Mailing Address
First Line	:	2400 EASTPOINT PKWY
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-4154
Country	:	US
Telephone Number	:	502-210-4800
Fax Number	:	502-210-4810

Provider Business Practice Location Address
First Line	:	2600 STANLEY GAULT PKWY
Second Line	:	SUITE 201
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-4197
Country	:	US
Telephone Number	:	502-238-2801
Fax Number	:	502-238-2835

Authorized Official
Title or Position	:	REVENUE CYCLE DIRECTOR
Name	:	KATHERINE P SMITH
Credential	:
Telephone Number	:	502-238-2801

Provider Enumeration Date	:	01/10/2011
Last Update Date	:	01/10/2011

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Directions to “BAPTIST COMMUNITY HEALTH SERVICES ” Practice Location

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