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
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
16253
MS
341600000X
Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020205
BCMS PROVIDER NUMBER
MS
01
—
000080246
BC STATE SNF PROV NUMBER
MS
01
—
000080926
BCMS PSYCH PROV NUMBER
MN
05
—
00070665
—
MS
05
—
00220136
—
MS
05
—
00550019
—
MS
01
—
010052
BCAL PROVIDER NUMBER
AL
05
—
09013691
—
MS
01
—
19205
BCMS PRO FEE PROV NUMBER
MS
05
—
BAP0100N
—
AL
Enumeration date
04/13/2006
Last updated
08/10/2022
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