Active NPI
Baptist Health Madisonville Inc
Doing business as Baptist Health Medical Associates Lab
- Clinical Medical Laboratory
- Madisonville, KY
National Provider Identifier
1417138686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BAPTIST HEALTH MADISONVILLE INC
- Doing business as
- Baptist Health Medical Associates Lab
- Practice address
- 200 Clinic Dr
Madisonville, KY 42431-1661 - Phone
- (270) 825-7200
- NPI assigned
- Nov 16, 2007
- Last updated
- Sep 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Carrico
- Title
- Cfo
- Phone
- (502) 896-5006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
200 Clinic Dr
Madisonville, KY 42431-1661
Mailing address
900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-7200
Other names 1
- BAPTIST HEALTH MEDICAL ASSOCIATES LAB
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2112230 | Baptist Health Deaconess Medical Group, Inc | Certificate of waiver | Apr 25, 2028 |
| 18D2112231 | Baptist Health Deaconess - Endocrinology | Certificate of waiver | Apr 25, 2028 |
| 18D2112232 | Baptist Health Deaconess Medical Group, Inc | Provider-performed microscopy | May 30, 2027 |
| 18D2112233 | Baptist Health Deaconess Medical Group, Inc | Certificate of waiver | Apr 25, 2028 |
| 18D2112235 | Baptist Health Deaconess Medical Group | Certificate of waiver | Apr 25, 2028 |
| 18D2112236 | Baptist Health Deaconess Pediatrics | Certificate of waiver | Apr 25, 2028 |
| 18D2151203 | Baptist Health Deaconess Medical Group, Inc | Certificate of waiver | Jul 15, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Baptist Health Corbin
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694995200000",
"number": "1417138686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 HOSPITAL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311644",
"telephone_number": "270-825-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CLINIC DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311661",
"telephone_number": "270-825-7200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST HEALTH MADISONVILLE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-16",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A",
"authorized_official_last_name": "CARRICO",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "502-896-5006"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BAPTIST HEALTH MEDICAL ASSOCIATES LAB",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BAPTIST HEALTH MEDICAL ASSOCIATES LAB",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madisonville, KY
- Baptist Health Deaconess Medical Group Inc
- Baptist Health Deaconess Medical Group Inc (Baptist Health Deaconess Madisonville Hospital Based Providers)
- Baptist Health Madisonville Inc (Baptist Health Medical Associates)
- Baptist Health Madisonville Inc (Renal Dialysis Center)
- Baptist Health Madisonville Inc (Baptist Health Sports Medicine and Rehabilitation)
- Baptist Health Madisonville Inc
- Baptist Health Madisonville Inc (Baptist Health Madisonville RDF)
- Baptist Health Madisonville Inc (Baptist Health Madisonville)
- Baptist Health Madisonville Inc (Regional Medical CenterBAPTIST HEALTH MADISONVILLE)
- Baptist Health Madisonville Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.