| Baptist Physicians Southeast, Inc. | |
|
1 Trillium Way Corbin KY 40701-8426 | |
| (606) 526-8131 | |
| (606) 528-8661 |
| Full Name | Baptist Physicians Southeast, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Trillium Way, Corbin, Kentucky |
| Authorized Official Name and Position | Larry Gray (PRESIDENT/CEO) |
| Authorized Official Contact | 6065268131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Physicians Southeast, Inc. Po Box 1325 Corbin KY 40702-1325 Ph: (606) 526-8131 | Baptist Physicians Southeast, Inc. 1 Trillium Way Corbin KY 40701-8426 Ph: (606) 526-8131 |
| NPI Number | 1407044217 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407044217 | NPI | - | NPPES |
| 7100097590 | Other | KY | MEDICAID NURSE PRACTITIONERS |
| 7100027820 | Medicaid | KY | |
| 7100221220 | Other | KY | MEDICAID PHYSICIAN ASSISTANTS |
| 7100302310 | Other | KY | MEDICAID LCSW |
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