BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC (NPI# 1225125859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225125859 |
Entity Type | Organization |
Organization Name | BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC |
Other Organization Name | BMH-NORTH MISSISSIPPI |
Practice Address |
1100 Belk Blvd Oxford MS 38655-5242 |
Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
Practice Telephone | 6626361000 |
Mailing Telephone | 6626361000 |
Enumeration Date | 2006-10-06 |
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 | 273Y00000X | Rehabilitation Unit | 16228 | MS | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | BC PRO FEE PROV NUMBER | 000019180 | 01 |
MS | MSBC PROVIDER NUMBER | 20180 | 01 |
MS | 20016 | 05 |
Other Name | Type Code |
---|---|
BMH-North Mississippi | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
2301 S Lamar Blvd, Oxford, MS 386555373 | 6622328105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477108322 | Baptist Memorial Hospital North Mississippi, Inc | Pharmacy | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2019-08-07 |
1952587032 | Baptist Memorial Hospital North Mississippi, Inc | Hospice Care, Community Based | 126 Highway 51 N, Batesville, MS 38606-2347 | 2008-01-18 |
1376729442 | Baptist Memorial Hospital North Mississippi, Inc | Home Health | 126 Highway 51 N, P O Bopx 1429, Batesville, MS 38606-2347 | 2008-01-18 |
1952453649 | Baptist Memorial Hospital North Mississippi, Inc | General Acute Care Hospital | 2301 S Lamar Blvd, Oxford, MS 38655-5373 | 2007-01-16 |
1376630079 | Baptist Memorial Hospital North Mississippi, Inc | Skilled Nursing Facility | 2301 S Lamar Blvd, Oxford, MS 38655-5373 | 2006-10-06 |
1053375576 | Baptist Memorial Hospital North Mississippi, Inc | General Acute Care Hospital | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2006-04-13 |
Street Address |
1100 BELK BLVD |
City | OXFORD |
State | MS |
Zip Code | 38655-5242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295717056 | Jpb Pathology, Inc | Pathology | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2005-11-17 |
1033754148 | Jennifer Dixon | Registered Nurse | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2019-11-12 |
1477108322 | Baptist Memorial Hospital North Mississippi, Inc | Pharmacy | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2019-08-07 |
1184101149 | Brody L Horne | Nurse Practitioner | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2018-07-23 |
1023468873 | Rajesh Subramanya | Pediatrics | 1100 Belk Blvd, Oxford, MS 38655 | 2016-06-13 |
1558719625 | Samuel Thomas Harris | Internal Medicine | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2016-05-31 |
1659779767 | Comprehensive Hospitalists of Ms, LLC | Hospitalist | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2014-12-06 |
1598182826 | Patrick Louis Carr | Emergency Medicine | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2014-03-25 |
1336563279 | Sandra Campbell Tonkinson | Nurse Practitioner | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2014-02-12 |
1497938690 | John P Fullenwider | Pathology | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2007-12-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
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Taxonomy Code | 273Y00000X |
Grouping | Hospital Units |
Classification | Rehabilitation Unit |
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
Notes: Source: Code of Federal Regulations #42, Section 412.29. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003375411 | Neuro Rehabcare-tass | Rehabilitation Unit | 512 Harmony Road, Crystal Springs, MS 39059 | 2019-03-15 |
1851501308 | Elliott Temple Fleming | Rehabilitation Unit | Riley Memorial Hospital, 1102 Constitution Ave, Meridian, MS 39301-7170 | 2007-05-23 |
1881620649 | Natchez Regional Medical Center | Rehabilitation Unit | 54 Seargent S Prentiss Dr, Natchez, MS 39120 | 2006-06-24 |
1083013478 | Natchez Hospital Company LLC | Rehabilitation Unit | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2014-08-21 |
1114223880 | Anderson Regional Medical Center | Rehabilitation Unit | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2011-01-28 |
1912121120 | Southwest Mississippi Regional Medical Center | Rehabilitation Unit | 215 Marion Ave, Mccomb, MS 39648-2705 | 2007-04-12 |
1245369255 | Memorial Hospital At Gulfport | Rehabilitation Unit | 4500 13th St, Gulfport, MS 39501-2515 | 2007-03-05 |
1942359765 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Rehabilitation Unit | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2007-01-10 |
1225116486 | Singing River Health System | Rehabilitation Unit | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2006-11-02 |
1760567168 | Delta Regional Medical Center | Rehabilitation Unit | 1400 E Union St, Greenville, MS 38703-3246 | 2006-10-25 |
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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.