Organization
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON
Active
Parent organization
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON
Authorized official
GREGORY M DUCKETT (SR VP/ CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
631 RB WILSON DR, HUNTINGDON, TN 38344-1727
(731) 986-3220
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(731) 986-3220
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0000000450
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12133
—
TN
01
—
3142556
BLUE CROSS PROVIDER NUMBE
TN
Enumeration date
01/22/2007
Last updated
10/01/2020
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