BAPTIST HEALTH MEDICAL GROUP INC NPI 1194320630

NPI Information

  • NPI: 1194320630
  • Provider Name: BAPTIST HEALTH MEDICAL GROUP INC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Other Name: BARDSTOWN FAMILY MEDICINE
  • CLIA Number: 18D0320357
  • Address: 3615 E JOHN ROWAN BLVD STE 104
    BARDSTOWN, KY
    ZIP 40004
  • Phone: (502) 348-5968

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NPI Details

BAPTIST HEALTH MEDICAL GROUP INC is a rural health clinic center in Bardstown, KY. BAPTIST HEALTH MEDICAL GROUP INC NPI is 1194320630. The provider is registered as an organization entity type.
The provider Other Name Is Bardstown Family Medicine.

The provider's business location address is:

3615 E JOHN ROWAN BLVD STE 104
BARDSTOWN, KY
ZIP 40004-264
Phone: (502) 348-5968
Fax: (270) 706-5802

The provider's authorized official is Danyel D Clay .
The authorized official title is Vice President Revenue Cycle and has the following contact phone number (502) 253-4911.

The CLIA number assigned to this NPI record is 18D0320357 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2020 and was last updated on 7/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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