| Baptist Health Madisonville Inc | |
|
215 E Main St Providence KY 42450-1261 | |
| (270) 667-7017 | |
| Not Available |
| Full Name | Baptist Health Madisonville Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 215 E Main St, Providence, Kentucky |
| Authorized Official Name and Position | Richard Carrico (CFO) |
| Authorized Official Contact | 5028965006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Madisonville Inc 900 Hospital Dr Madisonville KY 42431-1644 Ph: (270) 825-5100 | Baptist Health Madisonville Inc 215 E Main St Providence KY 42450-1261 Ph: (270) 667-7017 |
| NPI Number | 1194850420 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 09/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194850420 | NPI | - | NPPES |
| 3753 | Other | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Regional Health Care Affiliates, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-828-5784 Fax: 270-825-5204 | |
Wayne C Cole Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 East Main St, Providence, KY 42450 Phone: 270-667-2023 Fax: 270-667-7518 |