Organization
BAPTIST MEDICAL CENTER-LEAKE, INC
Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Other names
BMC LEAKE SEBASTOPOL PRIMARY CARE, BMC Leake Madden Primary Care
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
17509 HIGHWAY 21, WALNUT GROVE, MS 39189-6505
(601) 267-1320
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(601) 267-1320
(601) 267-1469
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/27/2012
Last updated
10/15/2025
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