Bmc Leake Walnut Grove Primary Care

LBN: Baptist Medical Center-Leake, Inc
Bmc Leake Walnut Grove Primary Care is an health care organization with primary practice located at 110 Park St , Walnut Grove MS 39189-6526. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Baptist Medical Center-Leake, Inc can be contacted via phone (601) 267-1400, or through Duckett, Gregory M via phone (901) 227-5233.

Contact Information

Primary practice address
110 Park St Walnut Grove MS 39189-6526
Phone: (601) 267-1400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Duckett, Gregory M
Phone: (901) 227-5233

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1548310782
LBN Legal business name Baptist Medical Center-Leake, Inc
DBA Doing business as Bmc Leake Walnut Grove Primary Care
Authorized official Duckett, Gregory M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 11th, 2007
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 1548310782 NPPES
Mississippi MEDICAID 0123601
Mississippi MEDICAID 0115309

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