| Baptist Health Deaconess Madisonville | |
|
900 Hospital Dr Madisonville KY 42431 | |
| (270) 825-5650 | |
| Not Available |
| Full Name | Baptist Health Deaconess Madisonville |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 900 Hospital Dr, Madisonville, Kentucky |
| Authorized Official Name and Position | Richard Carrico (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5028965006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Deaconess Madisonville 900 Hospital Dr Madisonville KY 42431-1644 Ph: (270) 825-5650 | Baptist Health Deaconess Madisonville 900 Hospital Dr Madisonville KY 42431 Ph: (270) 825-5650 |
| NPI Number | 1417328097 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Medicare PECOS PAC ID | 7113831199 |
|---|---|
| Medicare Enrollment ID | O20150717001772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417328097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 100184 (Kentucky) | Primary |
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