Organization Active NPI

Baptist Memorial Hospital North Mississippi, Inc

Doing business as Baptist Memorial Hospital North MS

  • Community Based Hospice Care Agency
  • Batesville, MS
National Provider Identifier
1952587032
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
004 Issued in MS
Legal business name
BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC
Doing business as
Baptist Memorial Hospital North MS
Practice address
126 Highway 51 N
Batesville, MS 38606-2347
Phone
(662) 578-8402
NPI assigned
Jan 18, 2008
Last updated
Sep 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 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 004 MS Primary

Addresses

Primary practice location

126 Highway 51 N
Batesville, MS 38606-2347

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (662) 578-8402

Other identifiers 2

IdentifierTypeStateIssuer
00770241MedicaidMS
70648OtherMSBLUE CROSS MS

Other names 1

  • Baptist Memorial Hospital North MS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist Memorial Hospit5 organizations share this tax ID, including this one
Part of
Baptist Memorial Health Care Corp

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

126 Highway 51 N
Batesville, MS 38606
Phone (662) 578-8402

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.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1952587032",
    "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": "662-578-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HIGHWAY 51 N",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062347",
            "telephone_number": "662-578-8402"
        }
    ],
    "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": "2008-01-18",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770241",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MS",
            "identifier": "70648",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Memorial Hospital North MS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Memorial Hospital North MS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, MS

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.

Verify at the official NPI Registry.