Baptist-Leake Extended Care Facility

LBN: Baptist-Leake Extended Care Facility
Baptist-Leake Extended Care Facility is an health care organization with primary practice located at 310 Ellis St , Carthage MS 39051-3809. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Baptist-Leake Extended Care Facility can be contacted via phone (601) 267-1432, or through Duckett, Gregory M via phone (901) 227-5233.

Contact Information

Primary practice address
310 Ellis St Carthage MS 39051-3809
Phone: (601) 267-1432
Fax: (601) 267-1211
Website:
Map and Directions
Authorized official contact:
Name: Duckett, Gregory M
Phone: (901) 227-5233

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 214 Mississippi

Profile Details

NPI number 1588940811
LBN Legal business name Baptist-Leake Extended Care Facility
DBA Doing business as
Authorized official Duckett, Gregory M
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 1st, 2011
Last updated Sep 30th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588940811 NPPES
Mississippi MEDICAID 00230186

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