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General NPI Number Information
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NPI Number | 1881142461
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Entity Type | Organization
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Legal Business Name | BAPTIST MEMORIAL HOSPITAL-CALHOUN INC
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 140 BURKE CALHOUN CITY RD
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City | CALHOUN CITY
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State | MS
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Zip | 38916-9690
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Country | US
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Telephone | 662-628-6611
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Fax | 662-628-6300
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Provider Business Mailing Address
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Address Line | 350 N HUMPHREYS BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-2177
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Country | US
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Telephone | 662-628-6611
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Fax | 662-628-6300
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Authorized Official
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Title or Position | SR VP/CORP SECRETARY
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Name | MR. GREGORY DUCKETT
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Credential |
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Telephone | 901-227-5233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 11-259
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License Number State | MS
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