Active NPI
Baptist Memorial Hospital North Mississippi, Inc
- Skilled Nursing Facility
- Oxford, MS
National Provider Identifier
1376630079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 16228
- Legal business name
- BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC
- Practice address
- 2301 S Lamar Blvd
Oxford, MS 38655-5373 - Phone
- (662) 232-8105
- NPI assigned
- Oct 6, 2006
- Last updated
- Sep 30, 2020
- Organization subpart
- Yes
- Parent organization
- BAPTIST MEMORIAL HEALTH CARE CORP.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory M Duckett
- Title
- Sr VP/ Clo
- Phone
- (901) 227-5233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 16228 | MS | Primary |
Addresses
Primary practice location
2301 S Lamar Blvd
Oxford, MS 38655-5373
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (662) 232-8105
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20016 | Medicaid | MS | |
| 000019180 | Other | MS | BC PRO FEE PROV NUMBER |
| 20180 | Other | MS | BCBS MS PROV NUMBER |
| 000080241 | Other | MS | BC SNF PROV NUMBER |
National Provider Directory
National Provider Directory- Part of
- Baptist Memorial Health Care Corp
Ownership & related parties
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.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1649615964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601424000000",
"number": "1376630079",
"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": "662-232-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S LAMAR BLVD",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555373",
"telephone_number": "662-232-8105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
"enumeration_date": "2006-10-06",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A",
"authorized_official_last_name": "DUCKETT",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SR VP/ CLO",
"authorized_official_telephone_number": "901-227-5233"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MS",
"license": "16228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20016",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PRO FEE PROV NUMBER",
"identifier": "000019180",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MS PROV NUMBER",
"identifier": "20180",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC SNF PROV NUMBER",
"identifier": "000080241",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
- Baptist Memorial Health Services Inc of Mississippi
- Baptist Memorial Health Services Inc of Mississippi
- Baptist Memorial Health Services, Inc. of Mississippi
- Baptist Memorial Hospital North Mississippi, Inc
- Baptist Memorial Hospital North Mississippi, Inc (BMH-North Mississippi)
- Baptist Memorial Hospital North Mississippi, Inc (Baptist Oxford Outpatient Pharmacy)
- Baptist Memorial Hospital North Mississippi, Inc
- Baptist Memorial Hospital-North Mississippi
- Philip Baquie, L.P.C.
- Barsha Baral
Sources for this page
- 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.