Organization
BAPTIST MEMORIAL HEALTH SERVICES INC OF MISSISSIPPI
Active
Parent organization
BAPTIST MEMORIAL HEALTH SERVICES INC OF MISSISSIPPI
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST MEMORIAL HEALTH SERVICES INC OF MISSISSIPPI
Authorized official
DONALD R POUNDS (CFO SENIOR VICE PRESIDENT)
(901) 227-7463
Entity
Organization
Contact information
Practice address
255 BAPTIST BLVD, SUITE 301, COLUMBUS, MS 39705-2011
(662) 244-2781
(662) 244-2780
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 227-7463
(901) 227-5699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01236009
—
MS
01
—
DC4382
RAILROAD MEDICARE
—
Enumeration date
07/03/2008
Last updated
05/26/2009
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