BARDSTOWN FAMILY MEDICINE
NPI 1194320630
Clinic/Center - Rural Health in Bardstown, KY

Q: What is Baptist Health Medical Group Inc's NPI number?

The NPI number for Baptist Health Medical Group Inc is 1194320630. It was assigned to this organization in the NPPES registry on December 2, 2020.

Q: What is Baptist Health Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since December 02, 2020CLIA Certified · 2 labs

3615 E JOHN ROWAN BLVD STE 104, BARDSTOWN, KY 40004(502) 348-5968(270) 706-5802 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2024, Apr 22, 2021, Dec 2, 2020 (3 updates tracked since 2020).

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About Bardstown Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BARDSTOWN FAMILY MEDICINE (NPI 1194320630) is a healthcare organization registered as a rural health in Bardstown, Kentucky and active in the NPI registry since December 2020. The organization holds 2 active CLIA laboratory certificates and lists Danyel D Clay, Vice President Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1194320630

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameBAPTIST HEALTH MEDICAL GROUP INC

Location Address3615 E JOHN ROWAN BLVD STE 104Bardstown, KY 40004-3264

Mailing Address1901 Campus PlLouisville, KY 40299-2308 · (502) 253-4911

Phone(502) 348-5968

Fax(270) 706-5802

Organization SubpartNo

Authorized OfficialDanyel D ClayVice President Revenue Cycle · (502) 253-4911

Enumeration DateDecember 2, 2020

Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1194320630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

3615 E JOHN ROWAN BLVD STE 104, Bardstown, KY 40004

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Other Names 1

Other NameBardstown Family Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0320357

Baptist Health Medical Group Family Medicine · Bardstown, KY

Active · expires Jun 4, 2028

CLIA Number18D0320357

Laboratory TypePhysician Office

Certificate Effective DateJune 5, 2026

Certificate Expiration DateJune 4, 2028

Laboratory DirectorDr. Britta Z. Maciuba

Laboratory Phone(502) 348-5968

Laboratory LocationBaptist Health Medical Group Family Medicine3615 East John Rowan Blvd Suite 104 Attn Christy Anderson, Bardstown, KY 40004

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D2018431

Baptist Health Medical Group General Surgery & Urology · Bardstown, KY

Active · expires Jan 4, 2027

CLIA Number18D2018431

Laboratory TypePhysician Office

Certificate Effective DateJanuary 5, 2025

Certificate Expiration DateJanuary 4, 2027

Laboratory DirectorDr. Allison Cardin

Laboratory Phone(502) 348-0393

Laboratory LocationBaptist Health Medical Group General Surgery & Urology3615 East John Rowan Blvd Suite 203 Attn Cissy Harper, Bardstown, KY 40004

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID SINDLER M.D.

Family Medicine