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Organization

BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, 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
GREGORY M DUCKETT (SR VP/ CLO)
(901) 227-5233
Entity
Organization

Contact information

Practice address
2301 S LAMAR BLVD, OXFORD, MS 38655-5373
(662) 232-8105
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(662) 232-8105

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
16228
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000019180
BC PRO FEE PROV NUMBER
MS
01
000080241
BC SNF PROV NUMBER
MS
05
20016
MS
01
20180
BCBS MS PROV NUMBER
MS
Enumeration date
10/06/2006
Last updated
09/30/2020
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