Organization Active NPI

Baptist Health Madisonville Inc

Doing business as Regional Medical CenterBAPTIST HEALTH MADISONVILLE

  • Occupational Therapist
  • Madisonville, KY
National Provider Identifier
1679693030
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
BAPTIST HEALTH MADISONVILLE INC
Doing business as
Regional Medical CenterBAPTIST HEALTH MADISONVILLE
Practice address
900 Hospital Dr
Madisonville, KY 42431-1694
Phone
(270) 824-3729
Fax
(270) 824-3723
NPI assigned
Mar 30, 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
Mr. Richard Carrico
Title
Cfo
Phone
(502) 896-5006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

900 Hospital Dr
Madisonville, KY 42431-1694

Mailing address

900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5100

Other identifiers 1

IdentifierTypeStateIssuer
45010402MedicaidKY

Other names 1

  • Regional Medical CenterBAPTIST HEALTH MADISONVILLE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trover Foundation Dba T8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1679693030",
    "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": "270-825-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311694",
            "telephone_number": "270-824-3729",
            "fax_number": "270-824-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH MADISONVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45010402",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Medical CenterBAPTIST HEALTH MADISONVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regional Medical CenterBAPTIST HEALTH MADISONVILLE",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.