| Baptist Health Medical Group Inc | |
|
96 Future Dr Corbin KY 40701-8988 | |
| (606) 528-0305 | |
| (606) 523-4368 |
| Full Name | Baptist Health Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 96 Future Dr, Corbin, Kentucky |
| Authorized Official Name and Position | Danyel D Clay (VP, 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 96 Future Dr Corbin KY 40701-8988 Ph: (606) 528-0305 |
| NPI Number | 1720573934 |
|---|---|
| Provider Enumeration Date | 06/29/2018 |
| Last Update Date | 07/22/2024 |
| Medicare PECOS PAC ID | 5597867184 |
|---|---|
| Medicare Enrollment ID | O20170929003289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720573934 | NPI | - | NPPES |
| 18-8975 | Other | KY | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 900311 (Kentucky) | Primary |
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