BAPTIST MEDICAL CENTER - LEAKE, INC. (NPI# 1194861260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194861260 |
| Entity Type | Organization |
| Organization Name | BAPTIST MEDICAL CENTER - LEAKE, INC. |
| Other Organization Name | BMC LEAKE CARTHAGE PRIMARY CARE |
| Practice Address |
1100 Hwy 16 East Carthage MS 39051-3809 |
| Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
| Practice Telephone | 6012671470 |
| Practice Fax Number | 6012671469 |
| Mailing Telephone | 6012671470 |
| Mailing Fax Number | 6012671469 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | GREGORY M 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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
11187 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09016232 | 05 |
| Other Name | Type Code |
|---|---|
| Baptist Leake Primary Care Center | Doing Business As Name - Organization |
| BMC Leake Carthage Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891138780 | Baptist Medical Center - Leake, Inc. | Nurse Practitioner | 600 Highway 16 E, Carthage, MS 39051-4212 | 2013-04-10 |
| Street Address |
1100 HWY 16 EAST |
| City | CARTHAGE |
| State | MS |
| Zip Code | 39051-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205112539 | Baptist Medical Center-leake Inc | General Acute Care Hospital | 1100 Hwy 16 East, Carthage, MS 39051 | 2011-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275828 | Roots Healthcare and Homes, LLC | Meals | 292 Pickens Circle, Carthage, MS 39051 | 2017-09-30 |
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1750738415 | Telehealthone LLC | Nurse Practitioner | 300 South Pearl Street, Carthage, MS 39051 | 2016-05-23 |
| 1316297575 | Silver Lining Adult Daycare, LLC | Respite Care | 531 Highway 35 North, Carthage, MS 39051 | 2012-09-14 |
| 1508179888 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 205 Highway 16 West, Carthage, MS 39051 | 2010-07-15 |
| 1376725754 | Amye L Shamburger | Dentist | 101 S. Pearl Street, Carthage, MS 39051 | 2007-11-28 |
| 1770786188 | Carthage Eye Clinic Pa | Optometrist | 201 Hwy 16 East, Carthage, MS 39051 | 2007-06-06 |
| 1265553762 | David C Henderson | Dentist | 113 North Pearl St, Carthage, MS 39051 | 2007-04-02 |
| 1780722280 | Linda N Roland | Nurse Practitioner | 204 Chipley St., Carthage, MS 39051 | 2007-02-05 |
| 1205914298 | William M Myers II | Dentist | 12646 Hwy 488, Carthage, MS 39051 | 2006-11-01 |
| Find all providers in zip 39051 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750944310 | Carthage Area Hospital, Inc. | Clinic/Center | 22075 Constitution Drive, Carthage, NY 13619 | 2019-04-19 |
| 1639678030 | Carthage Hospital, LLC | Clinic/Center | 702 North Davis Drive, Carthage, TX 75633-1460 | 2018-02-12 |
| 1205887742 | Memorial Hospital Association | Clinic/Center | 403 S Adams St, Suite 239, Carthage, IL 62321-1624 | 2006-05-12 |
| 1588614002 | Memorial Hospital Association | Clinic/Center | 1450 N County Rd 2050, Carthage, IL 62321-0160 | 2006-05-12 |
| 1255984266 | Riverview Medical Center LLC | Clinic/Center | 133 Hospital Dr Ste 500, Carthage, TN 37030-4020 | 2019-07-18 |
| 1184128563 | Carthage Area Hospital Inc | Clinic/Center | 21957 Cole Rd, Carthage, NY 13619-9622 | 2018-03-21 |
| 1598264954 | Carthage Hospital, LLC | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-12 |
| 1407355860 | Carthage Hospital, LLC | Clinic/Center | 305 Cottage Rd, Carthage, TX 75633-1511 | 2018-02-12 |
| 1104229186 | Sgoh Acquisition, Inc. | Clinic/Center | 327 E Airport Dr, Carthage, MO 64836-3402 | 2014-10-03 |
| 1629314539 | East Texas Medical Center Carthage | Clinic/Center | 305 Cottage Rd, Carthage, TX 75633-1511 | 2012-12-20 |
| Find all providers in CARTHAGE | ||||
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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.