| Baptist Health Deaconess Medical Group Inc | |
|
200 Clinic Dr Fl 3 Madisonville KY 42431-1661 | |
| (270) 825-7214 | |
| (270) 825-6685 |
| Full Name | Baptist Health Deaconess Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Clinic Dr Fl 3, Madisonville, Kentucky |
| Authorized Official Name and Position | Danyel Clay (EXECUTIVE DIRECTOR 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 Deaconess Medical Group Inc 5200 Commerce Crossings Dr Fl 3 Louisville KY 40229-2182 Ph: (502) 253-4911 | Baptist Health Deaconess Medical Group Inc 200 Clinic Dr Fl 3 Madisonville KY 42431-1661 Ph: (270) 825-7214 |
| NPI Number | 1689258857 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/12/2021 |
| Medicare PECOS PAC ID | 6103220330 |
|---|---|
| Medicare Enrollment ID | O20220118001927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689258857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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