Baptist Memorial Hospital Lauderdale

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

00000088 Issued in TN

Legal business name

BAPTIST MEMORIAL HOSPITAL LAUDERDALE

Practice address

326 Asbury Ave
Ripley, TN 38063-5577

Phone

(731) 221-2402

NPI assigned

Mar 29, 2007

Organization subpart

Yes

Parent organization

BAPTIST MEMORIAL HOSPITAL LAUDERDALEAs reported in NPPES

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

Authorized official

Name

Daryl Blalack

Title

Administrator

Phone

(731) 221-2402

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Bapt Mem Hosp-Lauderdale

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 Hospital Lauderdale

  • Critical Access Hospital
  • Ripley, TN
  • NPI 1972552081
  NPPES parent name

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1982723904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 ASBURY AVE",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380635577",
            "telephone_number": "731-221-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 ASBURY AVE",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380635577",
            "telephone_number": "731-221-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEMORIAL HOSPITAL LAUDERDALE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HOSPITAL LAUDERDALE",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "BLALACK",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-221-2402"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TN",
            "license": "00000088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044Z314",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROV NUMBER",
            "identifier": "9859",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameryn Anderson, PHARM.D.
• Larry Anderson
• Tamiko Anderson, LPN
• Axiom Health Management
• Baptist Memorial Hospital Lauderdale
• Baptist Memorial Hospital- Lauderdale
• Barry Bates, PHARMACIST
• Kristen Beth Beasley, FNP
• Tina Michelle Blair, REGISTERED NURSE
• Lashasta K Bolden

• All providers in Ripley, TN
• Medicare Defined Swing Bed Hospital Unit in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.