| Baptist Health Medical Group Inc | |
|
627 W Fairview Ave Eddyville KY 42038-7386 | |
| (270) 388-5454 | |
| (270) 388-5452 |
| Full Name | Baptist Health Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 627 W Fairview Ave, Eddyville, Kentucky |
| Authorized Official Name and Position | Danyel D Clay (VICE PRESIDENT REVENUE CYCLE) |
| Authorized Official Contact | 5022534911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Medical Group Inc 1901 Campus Pl Louisville KY 40299-2308 Ph: (502) 253-4911 | Baptist Health Medical Group Inc 627 W Fairview Ave Eddyville KY 42038-7386 Ph: (270) 388-5454 |
| NPI Number | 1689229189 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 07/22/2024 |
| Medicare PECOS PAC ID | 5597867184 |
|---|---|
| Medicare Enrollment ID | O20191024001656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689229189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Caldwell County Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 W Fairview Ave, Eddyville, KY 42038 Phone: 270-388-6054 Fax: 270-365-4152 | |
Caldwell County Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview Ave, Eddyville, KY 42038 Phone: 270-388-5454 Fax: 270-388-5452 |