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NPI Code Detail

MEDICARE: BAPTIST MEMORIAL HOME CARE INC

MEDICARE: BAPTIST MEMORIAL HOME CARE 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
1315D00000XInpatient Hospice003MS

General Provider Information

NPI Number : 1821312364
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST MEMORIAL HOME CARE INC
Provider Business Mailing Address
First Line : 350 N HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2177
Country : US
Telephone Number : 662-243-1173
Fax Number :
Provider Business Practice Location Address
First Line : 2623 5TH ST N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-2009
Country : US
Telephone Number : 662-243-1173
Fax Number :
Authorized Official
Title or Position : SR VP/ CLO
Name : GREGORY M DUCKETT
Credential :
Telephone Number : 901-227-5233
Provider Enumeration Date : 03/25/2010
Last Update Date : 10/05/2020

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Directions to “BAPTIST MEMORIAL HOME CARE INC ” Practice Location

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