NPI Code Details Logo

NPI 1861723652

NPI 1861723652 : BAPTIST MEMORIAL HEALTH SERVICES INC OF MISSISSIPPI : OXFORD, MS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1861723652
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BAPTIST MEMORIAL HEALTH SERVICES INC OF MISSISSIPPI 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/19/2010
-----------------------------------------------------
    Last Update Date     |    07/16/2010
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2301 S LAMAR BLVD SUITE 100
-----------------------------------------------------
    City                 |    OXFORD
-----------------------------------------------------
    State                |    MS
-----------------------------------------------------
    Zip                  |    38655-5373
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    662-234-0119
-----------------------------------------------------
    Fax                  |    662-513-9673
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    350 N HUMPHREYS BLVD 
-----------------------------------------------------
    City                 |    MEMPHIS
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    38120-2177
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    901-227-7463
-----------------------------------------------------
    Fax                  |    901-227-5699
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO SENIOR VICE PRESIDENT
-----------------------------------------------------
    Name                 |     DONALD R POUNDS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    901-227-7463
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RC0200X
-----------------------------------------------------
    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RS0012X
-----------------------------------------------------
    Taxonomy Name        |    Sleep Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RP1001X
-----------------------------------------------------
    Taxonomy Name        |    Pulmonary Disease Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.