Provider Demographics
NPI:1518349448
Name:BAPTIST HEALTH
Entity Type:Organization
Organization Name:BAPTIST HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEONATAL NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-286-2823
Mailing Address - Street 1:109 BOWEN BND
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36093-2592
Mailing Address - Country:US
Mailing Address - Phone:334-451-4447
Mailing Address - Fax:334-286-2824
Practice Address - Street 1:109 BOWEN BND
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36093-2592
Practice Address - Country:US
Practice Address - Phone:334-451-4447
Practice Address - Fax:334-286-2824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-27
Last Update Date:2015-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-076707282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital