# BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC

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

## Provider details

- **NPI number:** 1053375576
- **Legal business name:** BAPTIST MEMORIAL HEALTH CARE CORP.
- **Authorized official:** GREGORY M DUCKETT (SR VP/CLO)
- **Authorized official phone:** (901) 227-5233

## Contact information

- **Practice address:** 1100 BELK BLVD, OXFORD, MS 38655-5242
- **Practice address phone:** (662) 636-1000
- **Mailing address:** 350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 16228 | MS | Yes |

## Other

- **Enumeration date:** 04/13/2006
- **Last updated:** 09/30/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000019180 | BC PRO FEE PROV NUMBER | MS |
| 01 | — | 000020180 | MS BC PROV NUMBER | MS |
| 01 | — | 000080241 | BC SNF PROV NUMBER | MS |
| 05 | — | 00020016 | — | MS |
| 05 | — | 09012211 | — | MS |