Basic Information
| Provider Information | |||||||||
| NPI: | 1265879753 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAPTIST HEALTH RICHMOND, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 34166 | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405884166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8596253603 | ||||||||
| FaxNumber: | 8596253757 | ||||||||
| Practice Location | |||||||||
| Address1: | 801 EASTERN BYP | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | KY | ||||||||
| PostalCode: | 404752751 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8596253603 | ||||||||
| FaxNumber: | 8596253757 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2013 | ||||||||
| LastUpdateDate: | 05/24/2013 | ||||||||
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| AuthorizedOfficialLastName: | MCCLURG | ||||||||
| AuthorizedOfficialFirstName: | WENDELL | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 8596233131 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.