Organization
HEALTH TECH AFFILIATES, INC.
Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Other names
Medical Technology
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST MEMORIAL HEALTH CARE CORP.
Authorized official
MR. GREGORY M. DUCKETT (SR VP/ CLO)
(901) 227-4137
Entity
Organization
Contact information
Practice address
900 N WASHINGTON ST, FORREST CITY, AR 72335-2856
(870) 633-5176
(870) 630-0530
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(870) 633-5176
(870) 630-0530
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG00189
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134188716
—
AR
Enumeration date
06/20/2006
Last updated
10/05/2020
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