Organization
BAPTIST MEMORIAL HOSPITAL
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
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-0505
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
00000104
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020374
—
MS
05
—
0440048
—
TN
05
—
107093105
—
AR
05
—
12503
—
TN
01
—
300020021
BC OF MS PROVIDER NUMBER
MS
01
—
56540
BC OF TN PROVIDER NUMBER
TN
01
—
82178
BC OF AR PROVIDER NUMBER
AR
05
—
BA012097606
—
MO
Enumeration date
04/12/2006
Last updated
04/15/2021
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