Organization
BAPTIST MEMORIAL HEALTH SERVICES INC
Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Other names
Baptist Home Medical Equipment
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
2003 HARRIS DR, OXFORD, MS 38655-4222
(662) 234-0555
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(662) 234-0555
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
04546/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440784
—
MS
05
—
134627716
—
AR
01
—
3100089
TN BCBS PROVIDER NUMBER
TN
Enumeration date
04/26/2006
Last updated
10/05/2020
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