NPIMap

Organization Active NPI

Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Hopkinsville, KY
National Provider Identifier
1174091763
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BAPTIST HEALTH MEDICAL GROUP INC
Practice address
500 Clinic Dr
Hopkinsville, KY 42240-4991
Phone
(270) 707-3354
Fax
(270) 707-3351
NPI assigned
Nov 13, 2018
Organization subpart
Yes
Parent organization
BAPTIST HEALTH MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danyel D Clay
Title
Vice President Revenue Cycle
Phone
(502) 253-4911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

500 Clinic Dr
Hopkinsville, KY 42240-4991

Mailing address

1901 Campus PL
Louisville, KY 40299-2308
Phone (502) 253-4911

Other names 1

  • Hopkinsville Rural Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070228000503 KY Part B Supplier - Clinic/Group Practice 5597867184 Receives reassigned benefits from 1,548 practitioners
40 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

National Provider Directory

National Provider Directory
Part of
Baptist Health Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2021 Change of OwnershipThis provider was the seller Hopkinsville RHCCCN 183856, KY, NPI 1184205643

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1174091763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CAMPUS PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992308",
            "telephone_number": "502-253-4911",
            "fax_number": "502-253-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CLINIC DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404991",
            "telephone_number": "270-707-3354",
            "fax_number": "270-707-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH MEDICAL GROUP INC",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "DANYEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT REVENUE CYCLE",
        "authorized_official_telephone_number": "502-253-4911"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hopkinsville Rural Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hopkinsville Rural Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.