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Contact Information

BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC.
100 HOSPITAL ST
BOONEVILLE, MS38829-3354
 Phone: 662-720-5004
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
Indicates primary specialty

NPI Profile & details for BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC.

NPI # 1619934551
LBN Legal business name BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC.
Authorized official GREGORY DUCKETT - (SR VP/ CLO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/26/2006
Last updated 09/30/2020 - About 6 years ago
Identifiers
MS License # 16161
TN Medicaid 00250044
MS Other 000020084 BC PROVIDER NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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