Baptist Health Medical Associates | |
215 E Main St Providence KY 42450-1261 | |
(270) 667-7017 | |
Not Available |
Full Name | Baptist Health Medical Associates |
---|---|
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 Medical Associates 900 Hospital Dr Madisonville KY 42431-1644 Ph: (270) 825-5100 | Baptist Health Medical Associates 215 E Main St Providence KY 42450-1261 Ph: (270) 667-7017 |
NPI Number | 1194850420 |
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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 |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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 | |
Cole Clinic 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 |