Organization Active NPI

Baptist Health Madisonville Inc

Doing business as Baptist Health Medical Associates Lab

  • Clinical Medical Laboratory
  • Madisonville, KY
National Provider Identifier
1417138686
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2112230Baptist Health Deaconess Medical Group, Inc200 Clinic Drive, Madisonville, KY 42431Certificate of waiverApr 25, 2028
18D2112231Baptist Health Deaconess - Endocrinology200 Clinic Dr, 4TH Floor, Madisonville, KY 42431Certificate of waiverApr 25, 2028
18D2112232Baptist Health Deaconess Medical Group, Inc200 Clinic Drive, 5TH Floor, Madisonville, KY 42431Provider-performed microscopyMay 30, 2027
18D2112233Baptist Health Deaconess Medical Group, Inc200 Clinic Drive, 1St Floor, Madisonville, KY 42431Certificate of waiverApr 25, 2028
18D2112235Baptist Health Deaconess Medical Group200 Clinic Drive, 1St Floor, Madisonville, KY 42431Certificate of waiverApr 25, 2028
18D2112236Baptist Health Deaconess Pediatrics200 Clinic Drive, 2ND Floor Pediatrics, Madisonville, KY 42431Certificate of waiverApr 25, 2028
18D2151203Baptist Health Deaconess Medical Group, Inc200 Clinic Drive, Madisonville, KY 42431Certificate of waiverJul 15, 2028

National Provider Directory

National Provider Directory

Member of 1

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

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

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.

Verify at the official NPI Registry.