# BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAPTIST MEMORIAL HEALTH CARE CORP.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013974922
- **Legal business name:** BAPTIST MEMORIAL HEALTH CARE CORP.
- **Authorized official:** GREGORY DUCKETT (SR VP/ CLO)
- **Authorized official phone:** (901) 227-5233

## Contact information

- **Practice address:** 100 HOSPITAL ST, BOONEVILLE, MS 38829-3354
- **Practice address phone:** (662) 720-5004
- **Mailing address:** 350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
- **Mailing address phone:** (901) 227-4133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 16161 | MS | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 09/30/2020