Verification Lookup Portal
Providers for Baptist Healthcare Systems, Inc.
Baptist Health Breckenridge Surgery Center
Baptist Health Corbin
Baptist Health Eastpoint Surgery Center
Baptist Health Floyd
Baptist Health Hardin
Baptist Health La Grange
Baptist Health Lexington
Baptist Health Louisville
Baptist Health Madisonville
Baptist Health Paducah
Baptist Health Richmond
Provider Last Name
Last name is required.
Provider First Name
_
Provider Birthdate
Birthdate is required.
Please provide a valid Date.
Provider NPI
_
NPI number is invalid. Must be a ten-digit number.
Required Information
_
_
_
_
_
Requester Name
Name is required.
Requester Title
_
Requester Organization
Organization is required.
Requester Address
_
Requester City, State, Zip
_
Requester Phone
_
Requester Email
_
I agree and acknowledge that I possess a signed release and immunity statement signed by the practitioner for which I am obtaining hospital verification information. Such signed release and immunity holds harmless and indemnifies Baptist Health System and individuals providing information pursuant to this request, its medical staff, board of directors and each of their respective members and designees, the administration of such Baptist Health System and its directors, officers, employees, representatives and agents, and each of them from any and all claims, demands or actions with respect to all acts, including without limitation, communications, reports, recommendations, or disclosures performed or made in connection with the request for the release of information pertaining to the practitioner's hospital affiliation with Baptist Health System.
Search
Provider Search
Please Enter the Following Information:
Facility
Provider Last Name
Provider First Name
Provider Birthdate
Provider NPI
Requester Name
Requester Title
Requester Organization
Requester Address
Requester City, State, Zip
Requester Phone
Requester Email