NPIMap

Organization Active NPI

Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Richmond, KY
National Provider Identifier
1831744176
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BAPTIST HEALTH MEDICAL GROUP INC
Practice address
648 University Shopping Ctr
Richmond, KY 40475-2614
Phone
(859) 623-1950
Fax
(859) 623-0619
NPI assigned
Aug 5, 2019
Organization subpart
Yes
Parent organization
BAPTIST HEALTH MEDICAL GROUP INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Danyel D Clay
Title
VP Revenue Cycle
Phone
(502) 253-4911

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 40

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

View all 40

Member of 1

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

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Practitioners 28

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

View all 28

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

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
O20191024002220 KY Part a Provider - Rural Health Clinic 5597867184 Practice locations: Richmond, KY

Rural health clinic certification: CCN B03814

Medicare enrollment files
Legal name
BAPTIST HEALTH MEDICAL GROUP INC
Doing business as
RICHMOND URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 26, 2020
Last certification
Feb 26, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jul 21, 2006 in KY
Enrollment address
648 University Shopping Ctr
Richmond, KY 40475-2614

All disclosed owners & managing parties 12

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Staci Dawn Farner Rogers Individual Corporate DirectorBoard Member Jan 1, 2022
Richard Carrico Individual Corporate OfficerVice President Apr 12, 2023
Christion Hutson Individual Corporate DirectorBoard Member Jan 1, 2026
Janet Norton Individual Corporate OfficerVice President & Secretary Jan 1, 2013
Frank Purdy Individual Corporate DirectorBoard Member Jan 1, 2022
Victoria Buster Individual Corporate DirectorBoard Member Jan 1, 2023
Danyel D Clay Individual Corporate OfficerVice President Jan 1, 2023
W-2 Managing EmployeeVice President Jan 1, 2023
Isaac J Myers Individual Corporate OfficerPresident Jan 10, 2018
Susan S Tamme Individual Corporate DirectorBoard Member Jan 1, 2026
Joanne M Berryman Individual Corporate DirectorBoard Member Jan 1, 2024
Baptist Healthcare System Inc Organization, Louisville, KY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2005 100%
Ronald Douglas Reed Individual Corporate OfficerVice President Jan 17, 2024

National Provider Directory

National Provider Directory
Part of
Baptist Health Inc

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

648 University Shopping Ctr
Richmond, KY 40475-2614

Mailing address

1901 Campus PL
Louisville, KY 40299-2308
Phone (502) 259-4911

Other names 1

NPPES NPI Registry
  • Richmond Urgent Care Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2024.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1831744176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CAMPUS PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992308",
            "telephone_number": "502-259-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 UNIVERSITY SHOPPING CTR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752614",
            "telephone_number": "859-623-1950",
            "fax_number": "859-623-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH MEDICAL GROUP INC",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "DANYEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "502-253-4911"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richmond Urgent Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Richmond Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.