Baptist Healthcare System, Inc.
Organization Active NPI Community/Retail Pharmacy · Corbin, KY
NPI 1407910706 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1407910706
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P07088 (KY)
- Legal business name
- BAPTIST HEALTHCARE SYSTEM, INC.
- Practice address
- 1 Trillium Way
Corbin, KY 40701-8727 - Phone
- (606) 526-8335
- Fax
- (606) 526-8338
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Shweta Desai
- Title
- System Director, Community Pharmacy
- Phone
- (502) 530-4125
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 47
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Baptist Health Outpatient Pharmacy |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
All facility ownership & control disclosures 30
| Facility | Type | Role | Since |
|---|---|---|---|
| Baptist Health Floyd |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2016 |
| Baptist Health Rehabilitation Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (40%) | Oct 11, 2023 |
| Baptist Health |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Sep 1, 2020 Sep 1, 2020 Sep 1, 2020 |
| Baptist Health Home Care Floyd |
Home health agency | Operational/Managerial Control (100%) | Oct 1, 2016 |
| Baptist Health Deaconess Health at Home |
Home health agency | 5% Or Greater Indirect Ownership Interest (25%) | Oct 1, 2023 |
| Baptist Home Health Care |
Home health agency | 5% Or Greater Indirect Ownership Interest (49%) | Mar 3, 2025 |
| Baptist Home Health Care |
Home health agency | 5% Or Greater Indirect Ownership Interest (49%) | Mar 3, 2025 |
| Baptist Health Medical Group Inc |
Rural health clinic | Operational/Managerial Control | Jan 1, 2015 |
| Baptist Health Medical Group Inc |
Rural health clinic | Operational/Managerial Control | Jan 1, 2015 |
| Baptist Health Medical Group Family Medicine Corbin |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 19, 2017 |
| Calvert City Rural Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 19, 2017 |
| Berea Rural Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 19, 2017 |
| Richmond Rural Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 19, 2017 |
| Taylorsville Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 19, 2017 |
| Benton Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 5, 2019 |
| Richmond OBGYN |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2015 |
| Scott County Primary Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2015 |
| Eddyville Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2015 |
| Richmond Urgent Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2005 |
| Princeton Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
| Baptist Health Medical Group Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2020 |
| Scottsburg Primary Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 19, 2017 |
| Salem Internal Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 19, 2017 |
| Hodgenville Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Jan 1, 2015 |
| Bardstown Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2020 |
| Sonora Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2015 |
| Lawrenceburg Primary Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2023 |
| Primary Care Murray |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2023 |
| Baptist Health Medical Group Primary Care Paris |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2023 |
| Baptist Health Primary Care Alycia |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161111000974 | KY | DME Supplier - Pharmacy | 9436149697 | Practice locations: Corbin, KY |
| O20170913002652 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 9436149697 |
1 other NPI on this enrollment Practice locations: Corbin, KY; Louisville, KY |
National Provider Directory
- Tax ID family
- Baptist Healthcare Sys Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P07088 | KY | Yes |
Addresses
Primary practice location
1 Trillium Way
Corbin, KY 40701-8727
Mailing address
1 Trillium Way
Corbin, KY 40701-8727
Phone (606) 526-8335
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54011606 | Medicaid | KY | |
| 2030107 | Other | PK |
Other names
- BAPTIST HEALTH APOTHECARY
- Baptist Health Outpatient Pharmacy
- Baptist Health Pharmacy
Other providers in Corbin, KY
- Baptist Healthcare System Inc
- Baptist Healthcare System Inc
- Baptist Healthcare System Inc.
- Baptist Healthcare System Inc.
- Baptist Healthcare System, Inc
- Baptist Physicians Southeast, Inc.
- Lainie Barberena
- Barbourville Family Health Center
- Elizabeth Noelle Bargo
- Lonnie Joseph Bargo
All providers in Corbin, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.