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Organization

BAPTIST MEMORIAL HOSPITAL LAUDERDALE

Active
Parent organization
BAPTIST MEMORIAL HOSPITAL LAUDERDALE
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAPTIST MEMORIAL HOSPITAL LAUDERDALE
Authorized official
DARYL BLALACK (ADMINISTRATOR)
(731) 221-2402
Entity
Organization

Contact information

Practice address
326 ASBURY AVE, RIPLEY, TN 38063-5577
(731) 221-2402
Mailing address
326 ASBURY AVE, RIPLEY, TN 38063-5577
(731) 221-2402

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
00000088
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044Z314
TN
01
9859
BC PROV NUMBER
TN
Enumeration date
03/29/2007
Last updated
07/15/2009
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