MISSISSIPPI BAPTIST MEDICAL CENTER


Address: 1225 N State St, Jackson, MS 39202-2064
Phone: 6019681362

MISSISSIPPI BAPTIST MEDICAL CENTER (NPI# 1720117286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720117286
Entity Type Organization
Organization Name MISSISSIPPI BAPTIST MEDICAL CENTER
Other Organization Name MBMC - AMBULANCE
Practice Address 1225 N State St
Jackson
MS 39202-2064
Mailing Address 350 N Humphreys Blvd
Memphis
TN 38120-2177
Practice Telephone 6019681362
Practice Fax Number 6012924592
Enumeration Date 2007-03-02
Last Update Date 2020-09-30
Authorized Official Name GREGORY DUCKETT (SR VP/ CLO)
Authorized Official Telephone 9012275233
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 341600000X Ambulance 196 MS Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
MS 07984288 05

Other Provider/Organization Names

Other Name Type Code
MBMC - Ambulance Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MISSISSIPPI BAPTIST MEDICAL CENTER, INC. 1225 N State St, Jackson, MS 39202-2064

Office Location

Street Address 1225 N STATE ST
City JACKSON
State MS
Zip Code 39202-2064

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013919216 Richard B Friedman Radiology 1225 N State St, Jackson, MS 39202-2064 2005-06-01
1326649336 Sharron Rena Brown Nurse Practitioner 1225 N State St, Jackson, MS 39202-2097 2020-11-05
1861009714 April Stevenson Corcoran Registered Nurse 1225 N State St, Jackson, MS 39202-2064 2020-09-24
1609485440 Mississippi Baptist Medical Center, Inc. Clinical Medical Laboratory 1225 N State St, Jackson, MS 39202-2064 2020-07-28
1912530569 Brandi Burge Wagner Nurse Practitioner 1225 N State St, Jackson, MS 39202-2064 2020-02-21
1760028955 Erin Jones Registered Nurse 1225 N State St, Jackson, MS 39202-2064 2019-11-21
1780229641 Lauren Blakeney Nurse Practitioner 1225 N State St, Jackson, MS 39202-2064 2019-11-14
1417591322 Lou Ann Wells Registered Nurse 1225 N State St, Jackson, MS 39202-2064 2019-11-04
1861043531 Jessica Candace Cody Anesthesiology 1225 N State St, Jackson, MS 39202-2064 2019-09-24
1386290955 Brady K Lowery Nurse Practitioner 1225 N State St, Jackson, MS 39202-2064 2019-08-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
Find all providers in zip 39202

Taxonomy Information

Taxonomy Code 341600000X
Grouping Transportation Services
Classification Ambulance

Taxonomy Definition

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851917504 Medevac Alabama Inc Ambulance 3738 N College Ave, Jackson, AL 36545-2225 2020-06-18
1598232480 Arrowood Inc. Ambulance 2470 Highway 15 N, Jackson, KY 41339-9406 2018-10-29
1679746333 Jackson First Alert Ambulance 18908 Atomic Rd., Jackson, SC 29831 2008-04-02
1588868400 Northampton County Ambulance 132 Landfeild Road, Jackson, NC 27845 2007-06-13
1720204811 Jackson First Alert Ambulance 508 Atomic Street, Jackson, SC 29831 2007-04-17
1942386289 Butts County Board of Commissioners Ambulance 154 Sylvan Drive, Jackson, GA 30233 2006-10-30
1114036779 Mobile Medic Ambulance Service Inc Ambulance 360 W Woodrow Wilson Ave, Jackson, MS 39213-7680 2006-08-29
1811915648 Jackson Volunteer Ambulance Ambulance 305 Sheridan Str, Jackson, MN 56143-0242 2006-07-18
1811542681 Amador Fire Protection District Ambulance 810 Court St, Jackson, CA 95642-2132 2019-08-07
1093251845 Reliant Medical Transportation, LLC Ambulance 13 Northtown Dr, Suite 130, Jackson, MS 39211-3047 2017-01-17
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39202

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Dataset Information

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.

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