| Baptist Health Corbin | |
|
1 Trillium Way Corbin KY 40701 | |
| (606) 528-1212 | |
| (606) 523-8726 |
| Full Name | Baptist Health Corbin |
|---|---|
| Speciality | Psychologist |
| Location | 1 Trillium Way, Corbin, Kentucky |
| Authorized Official Name and Position | Richard Carrico (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5028965006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Corbin 1 Trillium Way Corbin KY 40701 Ph: (606) 528-1212 | Baptist Health Corbin 1 Trillium Way Corbin KY 40701 Ph: (606) 528-1212 |
| NPI Number | 1447213483 |
|---|---|
| Provider Enumeration Date | 04/10/2006 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447213483 | NPI | - | NPPES |
| 65927329 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 100417 (Kentucky) | Primary |
| 208800000X | Urology | 34122 (Kentucky) | Secondary |
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