Provider Demographics
NPI:1710388640
Name:BAPTIST HEALTHCARE GRP
Entity Type:Organization
Organization Name:BAPTIST HEALTHCARE GRP
Other - Org Name:ST THOMAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOLLOW UP
Authorized Official - Prefix:MISS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-583-3036
Mailing Address - Street 1:PO BOX 13380
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4024
Mailing Address - Country:US
Mailing Address - Phone:317-583-3036
Mailing Address - Fax:317-583-3099
Practice Address - Street 1:4220 HARDING PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2005
Practice Address - Country:US
Practice Address - Phone:317-583-3036
Practice Address - Fax:317-583-3099
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST THOMAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No284300000XHospitalsSpecial HospitalGroup - Multi-Specialty