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NPI Code Detail

MEDICARE: BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC.

MEDICARE: BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance
2282N00000XGeneral Acute Care Hospital16253MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000080246OTHERMSBC STATE SNF PROV NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000020205OTHERMSBCMS PROVIDER NUMBER
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5010052OTHERALBCAL PROVIDER NUMBER
619205OTHERMSBCMS PRO FEE PROV NUMBER
7000080926OTHERMNBCMS PSYCH PROV NUMBER
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609830173
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC.
Provider Business Mailing Address
First Line : 350 N HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2177
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2520 5TH ST N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-2008
Country : US
Telephone Number : 662-244-1500
Fax Number :
Authorized Official
Title or Position : SR VP/ CLO
Name : GREGORY DUCKETT
Credential :
Telephone Number : 901-227-5233
Provider Enumeration Date : 04/13/2006
Last Update Date : 08/10/2022

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Directions to “BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC. ” Practice Location

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