Organization
BAPTIST MEMORIAL HEALTH SERVICES INC
Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Other names
Baptist Home Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST MEMORIAL HEALTH CARE CORP.
Authorized official
GREGORY DUCKETT (SR VP/ CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
400A US HIGHWAY 51 BYP N, DYERSBURG, TN 38024-3655
(731) 285-6377
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(731) 285-6377
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
447
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134627716
AR MCAID PROVIDER NUMBER
AR
01
—
3100089
TN BCBS PROVIDER NUMBER
TN
05
—
3558335
—
TN
Enumeration date
04/27/2006
Last updated
10/05/2020
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