NPIMap

Organization Active NPI

Baptist Community Health Services

  • Emergency Medical Services (Emergency Medicine) Physician
  • Louisville, KY
National Provider Identifier
1659675403
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
29002 Issued in KY
Legal business name
BAPTIST COMMUNITY HEALTH SERVICES
Practice address
12010 Shelbyville Rd
Louisville, KY 40243-1054
Phone
(502) 238-2800
Fax
(502) 238-2805
NPI assigned
Jan 7, 2011
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katherine P Smith
Title
Revenue Cycle Director
Phone
(502) 238-2801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 29002 KY Primary

Addresses

Primary practice location

12010 Shelbyville Rd
Louisville, KY 40243-1054

Mailing address

2600 Stanley Gault Pkwy
Suite 201
Louisville, KY 40223-4197
Phone (502) 238-2801

Other names 1

  • Baptist Urgent Care Middletown Rx Other name

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
18D1077225Baptist Urgent Care - Middletown12010 Shelbyville Road Suite 500, Louisville, KY 40243Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Baptist Community Health12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1659675403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 STANLEY GAULT PKWY",
            "address_2": "SUITE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234197",
            "telephone_number": "502-238-2801",
            "fax_number": "502-238-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431054",
            "telephone_number": "502-238-2800",
            "fax_number": "502-238-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "502-238-2801"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "KY",
            "license": "29002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Urgent Care Middletown Rx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.