BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC. (NPI# 1013974922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013974922 |
| Entity Type | Organization |
| Organization Name | BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC. |
| Practice Address |
100 Hospital St Booneville MS 38829-3354 |
| Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
| Practice Telephone | 6627205004 |
| Mailing Telephone | 9012274133 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | GREGORY DUCKETT (SR VP/ CLO) |
| Authorized Official Telephone | 9012275233 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST MEMORIAL HEALTH CARE CORP. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 16161 | MS | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00029003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796483 | Baptist Memorial Hospital-booneville, Inc. | Pharmacy | 100 Hospital St, Booneville, MS 38829-3354 | 2020-09-28 |
| 1619934551 | Baptist Memorial Hospital-booneville, Inc. | Psychiatric Unit | 100 Hospital St, Booneville, MS 38829-3354 | 2006-04-26 |
| 1396709978 | Baptist Memorial Hospital-booneville, Inc. | General Acute Care Hospital | 100 Hospital St, Booneville, MS 38829-3354 | 2006-04-12 |
| Street Address |
100 HOSPITAL ST |
| City | BOONEVILLE |
| State | MS |
| Zip Code | 38829-3354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598762890 | Joseph Woodson Wolfe | Specialist | 100 Hospital St, Suite 100a, Booneville, MS 38829-3354 | 2005-06-30 |
| 1730796483 | Baptist Memorial Hospital-booneville, Inc. | Pharmacy | 100 Hospital St, Booneville, MS 38829-3354 | 2020-09-28 |
| 1184251795 | Tmk Enterprises | Nurse Practitioner | 100 Hospital St, Booneville, MS 38829-3354 | 2020-03-24 |
| 1861880767 | Heather Nicole Wright | Nurse Practitioner | 100 Hospital St, Suite 300, Booneville, MS 38829-3354 | 2014-12-30 |
| 1073744553 | Lauren Hall Sparks | Nurse Practitioner | 100 Hospital St, Suite 200, Booneville, MS 38829-3354 | 2009-08-02 |
| 1942439518 | Booneville Internal Medicine PC | Internal Medicine | 100 Hospital St, Suite 200, Booneville, MS 38829-3354 | 2009-07-04 |
| 1467616565 | Amanda Brown Comer | Nurse Practitioner | 100 Hospital St, Suite 300, Booneville, MS 38829-3354 | 2008-07-17 |
| 1902071632 | Paul Walter Henderson | Respiratory Therapist, Registered | 100 Hospital St, Booneville, MS 38829-3354 | 2008-04-23 |
| 1376764167 | North Mississippi Pulmonology Clinic Inc | Internal Medicine | 100 Hospital St, #300, Booneville, MS 38829-3354 | 2007-05-01 |
| 1548489636 | Urology Consultants, Pllc | Specialist | 100 Hospital St, Suite 100a, Booneville, MS 38829-3354 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029249 | Ortho Express Holding Company, LLC | Clinic/Center | 608 W Church St, Booneville, MS 38829 | 2020-07-02 |
| 1073142600 | Chelsea Cara Mcmillin | Registered Nurse | 2014 C East Chambers Drive, Booneville, MS 38829 | 2020-04-06 |
| 1396210274 | Hooper Transportation LLC | Private Vehicle | 105 Jacinto Heights, No 2, Booneville, MS 38829 | 2018-10-08 |
| 1699251314 | John L Hooper | Driver | 105 Jacinto Heights No 2, Booneville, MS 38829 | 2018-07-16 |
| 1750744389 | Jeni Ramey | Social Worker | 214 Dogwood Estates, Booneville, MS 38829 | 2016-03-31 |
| 1770944977 | Judy Dillard | Peer Specialist | 2100 Chambers Drive, Booneville, MS 38829 | 2016-03-15 |
| 1508253295 | Mary Grace Hancock | Internal Medicine | 202 N 1st St Ste B, Booneville, MS 38829 | 2015-04-20 |
| 1508042722 | Mary Dean Stone | Registered Nurse | 2100 East Chamberss, Booneville, MS 38829 | 2008-01-17 |
| 1144406430 | Amy Cole | Registered Nurse | 2100 East Chambers, Booneville, MS 38829 | 2008-01-16 |
| 1972715118 | Rita D. Jones | Nurse Practitioner | 1907 South Lake Street, Booneville, MS 38829 | 2007-05-03 |
| Find all providers in zip 38829 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598842643 | Booneville Community Hospital, Inc | Medicare Defined Swing Bed Unit | 880 West Main, Booneville, AR 72927-0290 | 2006-11-01 |
| 1235567504 | Mercy Hospital Booneville | Medicare Defined Swing Bed Unit | 880 W Main St, Booneville, AR 72927-3443 | 2013-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
| 1487863692 | Kilmichael Hospital | Medicare Defined Swing Bed Unit | 301 Lamar Ave, Kilmichael, MS 39747 | 2007-05-22 |
| 1972620292 | Yalobusha General Hospital | Medicare Defined Swing Bed Unit | 630 South Main Street, Water Valley, MS 38965-3468 | 2007-03-23 |
| 1659404770 | Patients Choice Medical Center of Humphreys County, LLC | Medicare Defined Swing Bed Unit | 500 C C C Rd, Belzoni, MS 39038-3806 | 2007-03-14 |
| 1104904457 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Avenue, Port Gibson, MS 39150-1004 | 2006-11-02 |
| 1972538270 | Tippah County Hospital | Medicare Defined Swing Bed Unit | 1005 City Avenue North, Ripley, MS 38663-0499 | 2006-07-12 |
| 1700872173 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2005-09-21 |
| 1447253521 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345-2613 | 2005-05-23 |
| 1457979908 | Natchez Hospital Company LLC | Medicare Defined Swing Bed Unit | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2020-07-10 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
| City | BOONEVILLE |
| Zip Code | 38829 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.