Healthcare Provider Details

I. General information

NPI: 1730283383
Provider Name (Legal Business Name): BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 07/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 BAPTIST BLVD SUITE 303
COLUMBUS MS
39705-2011
US

IV. Provider business mailing address

350 N HUMPHREYS BLVD
MEMPHIS TN
38120-2177
US

V. Phone/Fax

Practice location:
  • Phone: 662-244-2870
  • Fax: 662-244-2871
Mailing address:
  • Phone: 901-227-7463
  • Fax: 901-227-5699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DONALD R POUNDS
Title or Position: CFO SENIOR VICE PRESIDENT
Credential:
Phone: 901-227-7463