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Organization
BAPTIST MEMORIAL HOSPITAL UNION COUNTY, INC.
Active
Organization
BAPTIST MEMORIAL HOSPITAL UNION COUNTY, INC.
Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST MEMORIAL HEALTH CARE CORP.
Authorized official
GREGORY M DUCKETT (SR VP/ CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
200 HWY 30 W, NEW ALBANY, MS 38652-3112
(662) 532-7631
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(662) 532-7631
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
16239
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019377
MS BC PRO FEE PROVIDER NU
MS
01
—
000020377
BLUE CROSS PROVIDER NUMBE
MS
05
—
00020010
—
MS
05
—
00050003
—
MS
05
—
09013177
—
MS
Enumeration date
04/12/2006
Last updated
09/30/2020
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