Organization
BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, 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
1100 BELK BLVD, OXFORD, MS 38655-5242
(662) 636-1000
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
16228
MS
Other
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
Enumeration date
04/13/2006
Last updated
09/30/2020
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