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NPI Code Detail

MEDICARE: BAPTIST MEDICAL CENTER - YAZOO, INC

MEDICARE: BAPTIST MEDICAL CENTER - YAZOO, 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
1282NC0060XCritical Access HospitalMS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
220253OTHERMSBCBS HOSPITAL

General Provider Information

NPI Number : 1619918075
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST MEDICAL CENTER - YAZOO, INC
Provider Business Mailing Address
First Line : 350 N HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2177
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 823 GRAND AVE
Second Line :
City : YAZOO CITY
State : MS
Zip : 39194-3233
Country : US
Telephone Number : 662-746-2261
Fax Number : 662-746-4839
Authorized Official
Title or Position : SR VP/ CLO
Name : MR. GREGORY M DUCKETT
Credential :
Telephone Number : 901-227-5233
Provider Enumeration Date : 06/09/2006
Last Update Date : 09/29/2020

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Directions to “BAPTIST MEDICAL CENTER - YAZOO, INC ” Practice Location

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