Organization
BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC.
Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Other names
Baptist Behavioral Health Care-Golden Triangle
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
2520 5TH ST N, COLUMBUS, MS 39705-2008
(662) 244-2561
(662) 244-2575
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
16253
MS
273R00000X
Psychiatric Hospital Unit
Primary
18871
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020205
BCBS PROV NUMBER
MS
05
—
09013691
—
MS
Enumeration date
10/05/2006
Last updated
09/30/2020
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