Provider Demographics
NPI:1316226475
Name:BAPTIST HEALTH RICHMOND INC
Entity Type:Organization
Organization Name:BAPTIST HEALTH RICHMOND INC
Other - Org Name:PATTIE A. CLAY INFIRMARY ASSN.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-478-3245
Mailing Address - Street 1:PO BOX 34166
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40588-4166
Mailing Address - Country:US
Mailing Address - Phone:866-478-3245
Mailing Address - Fax:260-407-8008
Practice Address - Street 1:789 EASTERN BYP
Practice Address - Street 2:SUITE 25
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2415
Practice Address - Country:US
Practice Address - Phone:859-623-3560
Practice Address - Fax:859-623-3763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-08
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty