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NPI Code Detail

MEDICARE: BAPTIST COMMUNITY HEALTH SERVICES, INC

MEDICARE: BAPTIST COMMUNITY HEALTH SERVICES, INC
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
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1568639011
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST COMMUNITY HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 4007 KRESGE WAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-4604
Country : US
Telephone Number : 502-896-5011
Fax Number :
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 : 502-253-1035
Fax Number :
Authorized Official
Title or Position : TREASURER
Name : CARL HERDE
Credential :
Telephone Number : 502-896-5011
Provider Enumeration Date : 05/14/2008
Last Update Date : 05/14/2008

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Directions to “BAPTIST COMMUNITY HEALTH SERVICES, INC ” Practice Location

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