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NPI Code Detail

MEDICARE: BAPTIST MEMORIAL HOSPITAL-CALHOUN INC

MEDICARE: BAPTIST MEMORIAL HOSPITAL-CALHOUN 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
13336L0003XLong Term Care Pharmacy
23336C0003XCommunity/Retail Pharmacy
33336I0012XInstitutional Pharmacy
4333600000XPharmacy00378/3.1MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12169530OTHERPK

General Provider Information

NPI Number : 1588644348
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST MEMORIAL HOSPITAL-CALHOUN INC
Provider Business Mailing Address
First Line : 350 N HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2177
Country : US
Telephone Number : 662-628-6611
Fax Number : 662-628-6610
Provider Business Practice Location Address
First Line : 140 BURKE CALHOUN CITY RD
Second Line :
City : CALHOUN CITY
State : MS
Zip : 38916-9690
Country : US
Telephone Number : 662-628-6611
Fax Number : 662-628-6610
Authorized Official
Title or Position : SR VP/ CLO
Name : GREGORY M DUCKETT
Credential :
Telephone Number : 901-227-5233
Provider Enumeration Date : 01/18/2006
Last Update Date : 06/14/2023

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Directions to “BAPTIST MEMORIAL HOSPITAL-CALHOUN INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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