Organization
BAPTIST MEMORIAL HOSPITAL-DESOTO, 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
MR. GREGORY M DUCKETT (SR VP/ CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 349-4000
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(662) 349-4000
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
13318
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020143
—
MS
05
—
114992105
—
AR
05
—
250141
—
TN
Enumeration date
04/12/2006
Last updated
04/12/2021
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