Organization
BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE 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 DUCKETT (SR VP/ CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
2520 5TH ST N, COLUMBUS, MS 39705-2008
(662) 244-1500
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 227-5233
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
16253
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080246
MS BLUE CROSS PROVIDER NU
MS
Enumeration date
02/22/2007
Last updated
09/30/2020
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