BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC. (NPI# 1609963479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609963479 |
| Entity Type | Organization |
| Organization Name | BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC. |
| Other Organization Name | BAPTIST BEHAVIORAL HEALTH CARE-GOLDEN TRIANGLE |
| Practice Address |
2520 5th St N Columbus MS 39705-2008 |
| Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
| Practice Telephone | 6622442561 |
| Practice Fax Number | 6622442575 |
| Enumeration Date | 2006-10-05 |
| 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 |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | 16253 | MS | Hospital Units |
| Y | 273R00000X | Psychiatric Unit | 18871 | MS | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BCBS PROV NUMBER | 000020205 | 01 |
| MS | 09013691 | 05 |
| Other Name | Type Code |
|---|---|
| Baptist Behavioral Health Care-Golden Triangle | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043466352 | Baptist Memorial Hospital - Golden Triangle Inc. | Internal Medicine | 2520 5th St N, Columbus, MS 39705-2008 | 2008-08-18 |
| 1417088832 | Baptist Memorial Hospital - Golden Triangle Inc. | Specialist | 2520 5th St N, Columbus, MS 39705-2008 | 2007-03-08 |
| 1942337035 | Baptist Memorial Hospital - Golden Triangle Inc. | Pharmacy | 2520 5th St N, Columbus, MS 39705-2008 | 2007-02-27 |
| 1497880595 | Baptist Memorial Hospital - Golden Triangle Inc. | Skilled Nursing Facility | 2520 5th St N, Columbus, MS 39705-2008 | 2007-02-22 |
| 1609830173 | Baptist Memorial Hospital - Golden Triangle Inc. | General Acute Care Hospital | 2520 5th St N, Columbus, MS 39705-2008 | 2006-04-13 |
| Street Address |
2520 5TH ST N |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730187345 | David B Morgan | Specialist | 2520 5th St N, Columbus, MS 39705-2008 | 2005-07-08 |
| 1760002208 | Jameka Eddins | Registered Nurse | 2520 5th St N, Columbus, MS 39705-2008 | 2020-04-24 |
| 1578183802 | Lauren Clark Beasley | Registered Nurse | 2520 5th St N, Columbus, MS 39705-2008 | 2020-04-16 |
| 1992324958 | Keri Lynn Mills | Pharmacist | 2520 5th St N, Columbus, MS 39705-2008 | 2020-04-10 |
| 1043859697 | Lacee Nicole Lowder | Nurse Practitioner | 2520 5th St N, Columbus, MS 39705-2008 | 2019-12-30 |
| 1760028294 | Erin Whitley Lee | Registered Nurse | 2520 5th St N, Columbus, MS 39705-2008 | 2019-11-19 |
| 1801451430 | Mary Elizabeth Rush | Nurse Practitioner | 2520 5th St N, Columbus, MS 39705-2008 | 2019-05-09 |
| 1184289167 | Parul Dutta | Student in an Organized Health Care Education/Training Program | 2520 5th St N, Columbus, MS 39705-2008 | 2019-05-06 |
| 1447814322 | Robert Lyon Brown | Student in an Organized Health Care Education/Training Program | 2520 5th St N, Columbus, MS 39705-2008 | 2019-04-26 |
| 1245894435 | Michael Olisadumbili Chiadika | Student in an Organized Health Care Education/Training Program | 2520 5th St N, Columbus, MS 39705-2008 | 2019-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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| 1235493990 | Mifflin Youth Group | Psychiatric Unit | 1688 Schrock Rd, Columbus, OH 43229-1500 | 2012-06-27 |
| 1104998624 | Columbus Regional Hospital | Psychiatric Unit | 2400 East 17th St, Columbus, IN 47201-5351 | 2006-11-14 |
| 1427191477 | St. Luke's Hospital Inc. | Psychiatric Unit | 101 Hospital Dr, Columbus, NC 28722-6418 | 2007-02-15 |
| 1508941014 | Mount Carmel Health System | Psychiatric Unit | 793 W State St, Columbus, OH 43222-1551 | 2006-10-25 |
| 1790876183 | The Ohio State University Hospital | Psychiatric Unit | 1670 Upham Dr, Columbus, OH 43210-1250 | 2006-09-28 |
| 1760584122 | St Francis Health LLC | Psychiatric Unit | 2000 16th Ave, Columbus, GA 31901-1665 | 2006-09-05 |
| 1366552275 | Herman Andre Tolbert | Psychiatric Unit | 1430 S High St, Ohio Hospital for Psychiatry, Columbus, OH 43207-1045 | 2006-08-30 |
| 1225060312 | Ohiohealth Corporation | Psychiatric Unit | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407269756 | East Mississippi State Hospital | Psychiatric Unit | 1401 College Dr, Meridian, MS 39307-5345 | 2014-06-04 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1740228881 | Vicksburg Healthcare LLC | Psychiatric Unit | 1111 N Frontage Rd, Vicksburg, MS 39180-5102 | 2006-06-02 |
| 1306803481 | George County Hospital | Psychiatric Unit | 859 Winter Steet, Lucedale, MS 39452-6603 | 2006-05-01 |
| 1457330995 | South Mississippi State Hospital | Psychiatric Unit | 823 Highway 589, Purvis, MS 39475-4194 | 2006-01-12 |
| 1831184951 | Alliance Health Center Inc | Psychiatric Unit | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2005-09-14 |
| 1801414115 | Singing River Gulfport | Psychiatric Unit | 15200 Community Rd, Gulfport, MS 39503-3085 | 2020-07-13 |
| 1679036313 | Progressive Medical Management of Batesville LLC | Psychiatric Unit | 155 Keating Rd, Batesville, MS 38606-2901 | 2019-04-10 |
| 1689191629 | Boa Vida Hospital of Aberdeen, Ms, LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-29 |
| 1033643937 | Batesville Regional Medical Center, Inc. | Psychiatric Unit | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2017-04-18 |
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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.