BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC.
NPI 1013974922
Medicare Defined Swing Bed Unit in Booneville, MS

Active since April 26, 2006CLIA 25D0651792 · Accreditation
100 HOSPITAL ST, BOONEVILLE, MS 38829(662) 720-5004 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baptist Memorial Hospital-booneville, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC. (NPI 1013974922) is a healthcare organization registered as a medicare defined swing bed unit in Booneville, Mississippi and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Gregory Duckett, Sr Vp/ Clo, as its authorized official.

NPPES Registry Identity

NPI1013974922
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameBAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC.
Location Address100 HOSPITAL STBooneville, MS 38829-3354
Mailing Address350 N Humphreys BlvdMemphis, TN 38120-2177 · (901) 227-4133
Organization SubpartYesParent: Baptist Memorial Health Care Corp.
Authorized OfficialGregory DuckettSr Vp/ Clo · (901) 227-5233
Enumeration DateApril 26, 2006
Last NPPES UpdateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
NPI 1013974922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License Licensed in MS · 16161
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
100 HOSPITAL ST, Booneville, MS 38829

Other Identifiers 1

Medicaid00029003MS

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 25D0651792

Baptist Memorial Hospital Booneville · Booneville, MS
Active · expires Jan 2, 2027
CLIA Number25D0651792
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Elijah Stiefel
Laboratory Phone(662) 720-5096
Laboratory LocationBaptist Memorial Hospital Booneville100 Hospital Street, Booneville, MS 38829
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
100 HOSPITAL ST
BOONEVILLE, MS 38829
Internal Medicine
100 HOSPITAL ST, SUITE 100
BOONEVILLE, MS 38829
Nurse Practitioner (Family)
100 HOSPITAL ST, SUITE 200
BOONEVILLE, MS 38829
Family Medicine
100 HOSPITAL ST
BOONEVILLE, MS 38829
Contractor
100 HOSPITAL ST
BOONEVILLE, MS 38829
Internal Medicine
100 HOSPITAL ST, SUITE 100
BOONEVILLE, MS 38829
Emergency Medicine
100 HOSPITAL ST
BOONEVILLE, MS 38829
Emergency Medicine
100 HOSPITAL ST
BOONEVILLE, MS 38829

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baptist Memorial Hospital-Booneville, Inc.'s NPI number?

The NPI number for Baptist Memorial Hospital-Booneville, Inc. is 1013974922. It was assigned to this organization in the NPPES registry on April 26, 2006.

Where is Baptist Memorial Hospital-Booneville, Inc. located?

Baptist Memorial Hospital-Booneville, Inc. is located at 100 Hospital St, Booneville, MS 38829. The listed phone number is (662) 720-5004.

What is Baptist Memorial Hospital-Booneville, Inc.'s specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does Baptist Memorial Hospital-Booneville, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 25D0651792) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baptist Memorial Hospital-Booneville, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Baptist Memorial Hospital-Booneville, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Baptist Memorial Hospital-Booneville, Inc. was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.