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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 341600000X | Ambulance | 196 | MS | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 07984288 | 05 |
Other Name | Type Code |
---|---|
MBMC - Ambulance | Doing Business As Name - Organization |
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 |
Street Address |
1225 N STATE ST |
City | JACKSON |
State | MS |
Zip Code | 39202-2064 |
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 |
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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 Code | 341600000X |
Grouping | Transportation Services |
Classification | Ambulance |
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. |
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 |
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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.