Organization
BAPTIST MEMORIAL HOSPITAL- DESOTO
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
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 349-4000
(334) 244-1830
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(662) 349-4000
(334) 244-1830
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013581
—
MS
Enumeration date
01/18/2007
Last updated
10/01/2020
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