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Baptist Health Deaconess Madisonville Inc

Organization Active NPI Home Health Agency · Madisonville, KY

NPI 1215079124 · NPPES record last updated Aug 31, 2023

Key facts

NPI
1215079124
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
BAPTIST HEALTH DEACONESS MADISONVILLE INC
Practice address
200 Clinic Dr
Madisonville, KY 42431
Phone
(270) 824-3470
Fax
(270) 824-3468
NPI assigned
Feb 14, 2007
Organization subpart
No

Authorized official

Name
Mr. Richard Carrico
Title
Chief Financial Officer
Phone
(502) 896-5006

Member of 1

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

Change of ownership 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Change-of-ownership history

DateEventCounterparty
Oct 1, 2023 Change of Ownership
This provider was the seller		 Baptist Health Deaconess Health at Home
CCN 187013 · KY · NPI 1316723836

National Provider Directory

Locations

255 E North St
Madisonville, KY 42431
Phone (270) 821-7824

Interoperability endpoints

  • FHIR API: https://epicproxy.bhsi.com/PRD-FHIR/api/FHIR/R4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

200 Clinic Dr
Madisonville, KY 42431

Mailing address

900 Hospital Dr
Madisonville, KY 42431-1653
Phone (270) 824-3470

Other names

  • Baptist Health Deaconess Home Care Doing business as
  • Baptist Health Home Care Doing business as
  • Baptist Health Madisonville Home Care Doing business as

Other providers in Madisonville, KY

All providers in Madisonville, KY · Home Health Agency in Kentucky

Sources for this page

Verify at the official NPI Registry.