Baptist Health Medical Group Inc

Organization Active NPI Rural Health Clinic/Center · Powderly, KY

NPI 1477048684 · NPPES record last updated Jan 24, 2020

Key facts

NPI
1477048684
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
BAPTIST HEALTH MEDICAL GROUP INC
Practice address
1010 Medical Center Dr
Powderly, KY 42367-5463
Phone
(270) 377-1600
Fax
(270) 338-0229
NPI assigned
Jun 29, 2018
Organization subpart
No

Authorized official

Name
Danyel D Clay
Title
Execurive Director Revenue Cycle
Phone
(502) 253-4911

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

Change of ownership 1

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

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Change-of-ownership history

DateEventCounterparty
Sep 1, 2021 Change of Ownership
This provider was the seller
Powderly RHC
CCN 183950 · KY · NPI 1558942011

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070228000503 KY Part B Supplier - Clinic/Group Practice 5597867184 Receives reassigned benefits from 1,548 practitioners
40 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Locations

2400 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 210-4850

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

1010 Medical Center Dr
Powderly, KY 42367-5463

Mailing address

5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 253-4911

Other names

  • Rural Health Powderly Doing business as

Other providers in Powderly, KY

All providers in Powderly, KY · Rural Health Clinic/Center in Kentucky

Sources for this page

Verify at the official NPI Registry.