Baptist Health Medical Group Inc
Organization Active NPI Rural Health Clinic/Center · Madisonville, KY
NPI 1730734229 · NPPES record last updated Jan 24, 2020
Key facts
- NPI
- 1730734229
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- BAPTIST HEALTH MEDICAL GROUP INC
- Practice address
- 1851 N Main St
Madisonville, KY 42431-9024 - Phone
- (270) 825-7268
- Fax
- (270) 825-6615
- NPI assigned
- Aug 2, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- BAPTIST HEALTH MEDICAL GROUP INC
Authorized official
- Name
- Danyel D Clay
- Title
- Executive Director Revenue Cycle
- Phone
- (502) 253-4911
Other NPIs on the same Medicare enrollment 40
Member of 1
Member organizations 1
Change of ownership 1
Practitioners 13
-
Lunden Anne Barnes, APRN
-
Deidra Irvin, FNP-C
-
Karyn N McGuire, APRN
-
Trevor Merrell, DO
-
Traci Gail Morris, APRN
-
Russell E Peyton, NP
-
Sarah Ruth Peyton, FNP
-
Allen Darrell Probus Jr., FNP-C
-
Angela Turner, APRN
-
Ganesh Yamraj, M.D.
-
Greta Bakanowski, APRN
-
Melissa Gail Wilkerson, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Sep 1, 2021 | Change of Ownership |
Madisonville UC RHC |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Part of
- Baptist Health Inc
Locations
101 Stonecrest Rd
Ste 1
Shelbyville, KY 40065
Phone (502) 633-2233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1851 N Main St
Madisonville, KY 42431-9024
Mailing address
5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 259-4911
Other names
- Madisonville Urgent Care
Other providers in Madisonville, KY
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Medical Management Services Inc
- Shilah Barnes
- Barry J Sobel MD LLC
- Tammy W Barton
All providers in Madisonville, KY · Rural Health Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.