BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC. (NPI# 1396709978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396709978 |
| 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 | 2006-04-12 |
| 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 | 282N00000X | General Acute Care Hospital | 16161 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS PROVIDER NUMBE | 000020084 | 01 |
| MS | 00029003 | 05 | |
| TN | 00250044 | 05 | |
| MS | 9013631 | 05 | |
| MS | 00020084 | 05 | |
| MS | MEDICARE PROF FEE PROV NU | C00181 | 01 |
| 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 |
| 1013974922 | Baptist Memorial Hospital-booneville, Inc. | Medicare Defined Swing Bed Unit | 100 Hospital St, Booneville, MS 38829-3354 | 2006-04-26 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1013396290 | Martin Hillard Mcmullan | General Acute Care Hospital | 2350 Cooper Rd, Flowood, MS 39232-6136 | 2015-05-21 |
| 1750771580 | Genesis Rehab | General Acute Care Hospital | 438 North St, Union, MS 39365-9506 | 2015-02-02 |
| 1003229469 | Robert J Cole | General Acute Care Hospital | 601 Meadowbrook Cir, Amory, MS 38821-1314 | 2014-06-03 |
| 1295151850 | Mary A. Doss | General Acute Care Hospital | 110 Napoleon Dr, Brandon, MS 39047-9004 | 2014-03-06 |
| 1467755744 | Biloxi Regional Medical Center | General Acute Care Hospital | 1104 Homestead Blvd, Gautier, MS 39553-4612 | 2010-12-08 |
| 1528371119 | University Physicians. Pllc | General Acute Care Hospital | 121 Beaufort Cir, Madison, MS 39110-7962 | 2010-07-23 |
| 1306047436 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy4-east, Holly Springs, MS 38635 | 2007-05-29 |
| 1518168624 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy 4 East, Holly Springs, MS 38635 | 2007-05-29 |
| 1043427206 | Alliance Healthcare System, Inc | General Acute Care Hospital | 1430 Highway 4 E, Holly Springs, MS 38635-2140 | 2007-05-17 |
| 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.