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BAPTIST PHYSICIANS SOUTHEAST INC. NPI 1407044217


NPI Information

NPI: 1407044217
Provider Name: BAPTIST PHYSICIANS SOUTHEAST, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1 TRILLIUM WAY
CORBIN, KY
ZIP 40701
Phone: (606) 526-8131
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BAPTIST PHYSICIANS SOUTHEAST, INC. is a family medicine in Corbin, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BAPTIST PHYSICIANS SOUTHEAST, INC. NPI is 1407044217. The provider is registered as an organization entity type.

The provider's business location address is:

1 TRILLIUM WAY
CORBIN, KY
ZIP 40701-426
Phone: (606) 526-8131
Fax: (606) 528-8661

The provider's authorized official is Larry Gray .
The authorized official title is President/ceo and has the following contact phone number (606) 526-8131.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 9/25/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care700214KENTUCKYNo
2363L00000XNurse Practitioner5263PKENTUCKYNo
3207RG0100XInternal MedicineGastroenterologyNo
4207RH0003XInternal MedicineHematology & OncologyNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6207R00000XInternal MedicineNo
7207RC0000XInternal MedicineCardiovascular DiseaseNo
8363A00000XPhysician AssistantKENTUCKYNo
92085R0202XRadiologyDiagnostic RadiologyNo
101041C0700XSocial WorkerClinicalNo
11261QR1300XClinic/CenterRural Health900027KENTUCKYNo
12207X00000XOrthopaedic SurgeryNo
13208600000XSurgeryNo
14208800000XUrologyNo
15207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100221220OTHERKENTUCKYMEDICAID PHYSICIAN ASSISTANTS
27100302310OTHERKENTUCKYMEDICAID LCSW
37100097590OTHERKENTUCKYMEDICAID NURSE PRACTITIONERS
47100027820MEDICAIDKENTUCKY
500582MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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