Organization
BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC
Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Other names
BMH-North Mississippi
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
(662) 636-1000
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
16228
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019180
BC PRO FEE PROV NUMBER
MS
05
—
20016
—
MS
01
—
20180
MSBC PROVIDER NUMBER
MS
Enumeration date
10/06/2006
Last updated
09/30/2020
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