| Baptist Medical Management Services Inc | |
|
1756 E Center St Madisonville KY 42431-2253 | |
| (270) 821-3300 | |
| (270) 821-2100 |
| Full Name | Baptist Medical Management Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1756 E Center St, Madisonville, Kentucky |
| Authorized Official Name and Position | E Berton Whitaker (CEO) |
| Authorized Official Contact | 2708255857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Medical Management Services Inc 900 Hospital Dr Madisonville KY 42431-1644 Ph: (270) 825-5100 | Baptist Medical Management Services Inc 1756 E Center St Madisonville KY 42431-2253 Ph: (270) 821-3300 |
| NPI Number | 1821398603 |
|---|---|
| Provider Enumeration Date | 10/27/2010 |
| Last Update Date | 04/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821398603 | NPI | - | NPPES |
| 7100149860 | Medicaid | KY | |
| 689131 | Other | KY | ANTHEM GROUP # |
| 7100192750 | Other | KY | MEDICAID PHYSICIAN GROUP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | (Kentucky) | Primary |
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