NPIMap

Organization Active NPI

Baptist Memorial Hospital-Huntingdon

  • Community Based Hospice Care Agency
  • Huntingdon, TN
National Provider Identifier
1477607158
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0000000450 Issued in TN
Legal business name
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON
Practice address
631 RB Wilson Dr
Huntingdon, TN 38344-1727
Phone
(731) 986-3220
NPI assigned
Jan 22, 2007
Last updated
Oct 1, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST MEMORIAL HOSPITAL-HUNTINGDONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0000000450 TN Primary

Addresses

Primary practice location

631 RB Wilson Dr
Huntingdon, TN 38344-1727

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (731) 986-3220

Other identifiers 2

IdentifierTypeStateIssuer
3142556OtherTNBLUE CROSS PROVIDER NUMBE
12133MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Brownthomase

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 1, 2017 Change of OwnershipThis provider was the seller Baptist Memorial Home Care & HospiceCCN 441575, TN, NPI 1659807873

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1477607158",
    "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": "731-986-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 RB WILSON DR",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441727",
            "telephone_number": "731-986-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEMORIAL HOSPITAL-HUNTINGDON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HOSPITAL-HUNTINGDON",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TN",
            "license": "0000000450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "3142556",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12133",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, TN

Sources for this page

Verify at the official NPI Registry.