BAPTIST MEDICAL CENTER - LEAKE INC. NPI 1891138780

NPI Information

NPI: 1891138780
Provider Name: BAPTIST MEDICAL CENTER - LEAKE, INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 25D0317431

Address:
600 HIGHWAY 16 E
CARTHAGE, MS
ZIP 39051
Phone: (601) 267-1480
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BAPTIST MEDICAL CENTER - LEAKE, INC. is a family nurse practitioner in Carthage, MS. BAPTIST MEDICAL CENTER - LEAKE, INC. NPI is 1891138780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 HIGHWAY 16 E
CARTHAGE, MS
ZIP 39051-212
Phone: (601) 267-1480
Fax: (601) 267-6434

The provider's authorized official is Gregory M Duckett .
The authorized official title is Sr Vp/ Clo and has the following contact phone number (901) 227-5233.

The CLIA number assigned to this NPI record is 25D0317431 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/10/2013 and was last updated on 9/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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