Organization Active NPI

Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Palmyra, IN
National Provider Identifier
1174091771
Registry record updated Jun 9, 2026
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
691 Main St NE
Palmyra, IN 47164-8894
Phone
(812) 364-4669
Fax
(812) 364-4783
NPI assigned
Nov 13, 2018
Organization subpart
Yes
Parent organization
BAPTIST HEALTH MEDICAL GROUP INCAs reported in NPPES

Authorized official

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

National Provider Directory

National Provider Directory
Tax ID family
Baptist Health Inc59 organizations share this tax ID, including this one
Part of
Baptist Health Inc

Organizations with this tax ID in the same state 6

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

313 Federal Dr NW
Ste 130
Corydon, IN 47112
Phone (812) 225-5133

691 Main St NE
Palmyra, IN 47164
Phone (812) 364-4669

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Primary Care Clinic/Center 261QP2300X
Rural Health Clinic/Center 261QR1300X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

NPPES NPI Registry

Primary practice location

691 Main St NE
Palmyra, IN 47164-8894

Mailing address

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

Other names 2

NPPES NPI Registry
  • Corydon Rural Health Center Doing business as
  • Baptist Health Medical Group Primary Care Palmyra Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2026.

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1174091771",
    "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": "691 MAIN ST NE",
            "city": "PALMYRA",
            "state": "IN",
            "postal_code": "471648894",
            "telephone_number": "812-364-4669",
            "fax_number": "812-364-4783"
        }
    ],
    "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": "2026-06-09",
        "certification_date": "2026-06-09",
        "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": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corydon Rural Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Health Medical Group Primary Care Palmyra",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palmyra, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.