| Ms Bapitst Medical Center Geri-psych Unit | |
|
1225 N State St Jackson MS 39202-2064 | |
| (601) 968-5130 | |
| (601) 968-1383 |
| Full Name | Ms Bapitst Medical Center Geri-psych Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1225 N State St, Jackson, Mississippi |
| Authorized Official Name and Position | Gregory M Duckett (SR VP/ CLO) |
| Authorized Official Contact | 9012275233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Bapitst Medical Center Geri-psych Unit 350 N Humphreys Blvd Memphis TN 38120-2177 Ph: (901) 227-5233 | Ms Bapitst Medical Center Geri-psych Unit 1225 N State St Jackson MS 39202-2064 Ph: (601) 968-5130 |
| NPI Number | 1417984360 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 09/30/2020 |
| Certification Date | 09/30/2020 |
| Medicare PECOS PAC ID | 9234026600 |
|---|---|
| Medicare Enrollment ID | O20080425000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417984360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 14-281 (Mississippi) | Primary |
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