Organization
BAPTIST MEDICAL CENTER-LEAKE 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) 227-4137
Entity
Organization
Contact information
Practice address
1100 HWY 16 EAST, CARTHAGE, MS 39051
(601) 267-1100
(601) 267-1170
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(601) 267-1100
(601) 267-1170
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
11-187
MS
282NC0060X
Critical Access Hospital
Primary
11-187
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220808
—
MS
05
—
00220809
—
MS
05
—
09016253
—
MS
Enumeration date
11/01/2011
Last updated
12/09/2021
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