Provider Demographics
NPI:1952575789
Name:BAPTIST HEALTH SYSTEM INC
Entity Type:Organization
Organization Name:BAPTIST HEALTH SYSTEM INC
Other - Org Name:WALKER BAPTIST MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRENATAL EDUCATION COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CCE, IBCLC
Authorized Official - Phone:205-387-4858
Mailing Address - Street 1:3400 HIGHWAY 78 E
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35502-3543
Mailing Address - Country:US
Mailing Address - Phone:205-387-4858
Mailing Address - Fax:205-387-4535
Practice Address - Street 1:3400 HIGHWAY 78 E
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35502-3543
Practice Address - Country:US
Practice Address - Phone:205-387-4858
Practice Address - Fax:205-387-4535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, AmbulatoryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL119371Medicaid