NPIMap

Organization Active NPI

Baptist Healthcare System, Inc

Doing business as Baptist Health Corbin

  • General Acute Care Hospital
  • Corbin, KY
National Provider Identifier
1902865389
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
100417 Issued in KY
Legal business name
BAPTIST HEALTHCARE SYSTEM, INC
Doing business as
Baptist Health Corbin
Practice address
1 Trillium Way
Corbin, KY 40701
Phone
(606) 528-1212
Fax
(606) 528-8661
NPI assigned
Mar 22, 2006
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Richard Carrico
Title
Chief Financial Officer
Phone
(502) 896-5006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 100417 KY
General Acute Care Hospital 282N00000X 100417 KY Primary

Addresses

Primary practice location

1 Trillium Way
Corbin, KY 40701

Mailing address

1 Trillium Way
Corbin, KY 40701
Phone (606) 528-1212

Other identifiers 2

IdentifierTypeStateIssuer
01022201MedicaidKY
000000054486OtherKYBLUE CROSS

Other names 1

  • Baptist Health Corbin Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080103000115 KY Part A Provider - Hospital 9436149697 Practice locations: Corbin, KY; Somerset, KY; London, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902865389. Details of each certification follow.

Hospital certification: CCN 180080

Legal name
BAPTIST HEALTHCARE SYSTEM INC
Doing business as
BAPTIST HEALTH CORBIN
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 21, 2013
Beds
240 (208 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 17, 1918 in KY
Enrollment address
1 Trillium Way
Corbin, KY 40701-8727
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Swing-bed approved, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Care Compare: Hospital

Medicare Care Compare
Listed as
Baptist Health CorbinCCN 180080 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Robert Middleton48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

View all 47

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Jennifer Thomas Kuerzi Individual Corporate DirectorBoard Member Jan 1, 2023
Tammy Zimmerman Individual Corporate DirectorBoard Member Jan 1, 2018
Angelia L Foster Individual Corporate OfficerHospital President Oct 21, 2024
W-2 Managing EmployeeAd; Oct 21, 2024
Richard Carrico Individual Corporate OfficerVP/Cfo Feb 6, 2023
Bonnie Stith Individual Corporate DirectorBoard Member Jun 1, 2020
Janet Norton Individual Corporate OfficerChief Legal Officer Jan 1, 2013
William J Fultz Individual Corporate DirectorBoard Member Jan 1, 2022
Dwain Morris Individual Corporate DirectorBoard Member Jan 1, 2019
Susan Kay Fink Individual W-2 Managing EmployeeReimbursement Manager Oct 1, 2016
Lewis Diaz Individual Corporate DirectorBoard Member Jan 1, 2023
Gerard Colman Individual Corporate OfficerChief Exective Officer Dec 4, 2017
Pamela K Jones Individual W-2 Managing EmployeeExecutive Director of Finance Jan 1, 2013
Linda J Thomas Individual Corporate DirectorBoard Member Jan 1, 2020
William B Shircliff Individual Corporate DirectorBoard Member Mar 30, 2022
Cory Hicks Individual Corporate DirectorBoard Member Jan 1, 2024
James Richard Ferriell Individual W-2 Managing EmployeeDirector Government Reimbursement Apr 5, 2021
Kirsten Hawley Individual Corporate DirectorBoard Member Jan 1, 2025
Jonathan Westbrook Individual Corporate DirectorBoard Member Jan 1, 2025
Alan Redditt Individual Corporate DirectorBoard Member Jan 1, 2024
Daniel P O'Hair Individual Corporate DirectorBoard Member Jan 1, 2026
Robert L Hook Individual Corporate DirectorBoard Member Jan 1, 2026

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 30

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Health FloydNew Albany, IN, CCN 150044 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2016
Baptist Health Rehabilitation HospitalLouisville, KY, CCN 183033 Hospital 5% Or Greater Direct Ownership Interest (40%) Oct 11, 2023
Baptist HealthElizabethtown, KY, CCN 185427 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 1, 2020
Sep 1, 2020
Sep 1, 2020
Baptist Health Home Care FloydNew Albany, IN, CCN 157152 Home health agency Operational/Managerial Control (100%) Oct 1, 2016
Baptist Health Deaconess Health at HomeMadisonville, KY, CCN 187013 Home health agency 5% Or Greater Indirect Ownership Interest (25%) Oct 1, 2023
Baptist Home Health CareLexington, KY, CCN 187104 Home health agency 5% Or Greater Indirect Ownership Interest (49%) Mar 3, 2025
Baptist Home Health CareLouisville, KY, CCN 187091 Home health agency 5% Or Greater Indirect Ownership Interest (49%) Mar 3, 2025
Baptist Health Medical Group IncBarbourville, KY, CCN 188935 Rural health clinic Operational/Managerial Control Jan 1, 2015
Baptist Health Medical Group IncWilliamsburg, KY, CCN 188940 Rural health clinic Operational/Managerial Control Jan 1, 2015
Baptist Health Medical Group Family Medicine CorbinCorbin, KY, CCN 188975 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 19, 2017
Calvert City Rural Health CenterCalvert City, KY, CCN B03803 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 19, 2017
Berea Rural Health CenterBerea, KY, CCN 183806 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 19, 2017
Richmond Rural Health CenterRichmond, KY, CCN 183807 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 19, 2017
Taylorsville Rural Health ClinicTaylorsville, KY, CCN 183846 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 19, 2017
Benton Rural Health ClinicBenton, KY, CCN B03806 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 5, 2019
Richmond OBGYNRichmond, KY, CCN B03810 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Scott County Primary CareGeorgetown, KY, CCN B03813 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Eddyville Family MedicineEddyville, KY, CCN B03809 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Richmond Urgent CareRichmond, KY, CCN B03814 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2005
Princeton Rural Health ClinicPrinceton, KY, CCN B03804 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018
Baptist Health Medical Group Family MedicineBrandenburg, KY, CCN B03824 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2020
Scottsburg Primary CareScottsburg, IN, CCN 153917 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 19, 2017
Salem Internal MedicineSalem, IN, CCN 153918 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 19, 2017
Hodgenville Family MedicineHodgenville, KY, CCN B03912 Rural health clinic 5% Or Greater Direct Ownership Interest Jan 1, 2015
Bardstown Family MedicineBardstown, KY, CCN B03909 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2020
Sonora Family MedicineSonora, KY, CCN B03913 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Lawrenceburg Primary CareLawrenceburg, KY, CCN B03961 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Primary Care MurrayMurray, KY, CCN B03953 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Baptist Health Medical Group Primary Care ParisParis, KY, CCN B03933 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Baptist Health Primary Care AlyciaRichmond, KY, CCN B08912 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2025

Practitioners & affiliated clinicians

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 64

Affiliated clinicians 510

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 510

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1902865389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRILLIUM WAY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "40701",
            "telephone_number": "606-528-1212",
            "fax_number": "606-523-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRILLIUM WAY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "40701",
            "telephone_number": "606-528-1212",
            "fax_number": "606-528-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTHCARE SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "CARRICO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-896-5006"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "KY",
            "license": "100417",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "100417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01022201",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000054486",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Corbin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Health Corbin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.