Baptist Memorial Hospital-Booneville, Inc.

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

16161 Issued in MS

Legal business name

BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC.

Practice address

100 Hospital St
Booneville, MS 38829-3354

Phone

(662) 720-5004

NPI assigned

Apr 26, 2006

Organization subpart

Yes

Parent organization

BAPTIST MEMORIAL HEALTH CARE CORP.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory Duckett

Title

Sr VP/ Clo

Phone

(901) 227-5233

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Baptist Memorial Health Care Corp

Networks

• devoted network organization-b2bf9f31-74f9-4b21-a15f-5485be681c00

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Baptist Memorial Health Care Corp.

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1649615964
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1013974922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-227-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293354",
            "telephone_number": "662-720-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "SR VP/ CLO",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MS",
            "license": "16161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00029003",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra Armistead
• Ryleigh Follin Austin
• Melissa Bain
• John Baker, LPC
• Nathan Ward Baldwin, MD
• Baptist Memorial Hospital-Booneville, Inc.
• Baptist Memorial Hospital-Booneville, Inc.
• Baptist Memorial Hospital-Booneville, Inc.
• Charles Mitchell Barrett, RPH
• Dorothy May Bean

• Medicare Defined Swing Bed Hospital Unit in Booneville, MS
• Providers in Booneville, MS by specialty
• Medicare Defined Swing Bed Hospital Unit in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.