BMH-TIPTON AT BBCF KATE BOND
NPI 1558647628
Clinic/Center - Oncology, Radiation in Bartlett, TN

NPI Status: Active since November 02, 2011

Contact Information

2996 KATE BOND RD STE 100
BARTLETT, TN
ZIP 38133
Phone: (901) 383-5570

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  • Organization
  • Clinic/Center
  • Oncology, Radiation
  • CLIA Number: 44D0958418
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 09-02-2025

About BMH-TIPTON AT BBCF KATE BOND

This page provides the complete NPI Profile along with additional information for Bmh-tipton At Bbcf Kate Bond, a provider established in Bartlett, Tennessee operating as a Clinic/center, focusing in oncology, radiation . The healthcare provider is registered in the NPI registry with number 1558647628 assigned on November 2011. The practitioner's primary taxonomy code is 261QX0203X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Bmh-tipton At Bbcf Kate Bond. The authorized official of this NPI record is Gregory M Duckett (Sr Vp/ Clo)

NPI
1558647628
Provider Legal Name
BAPTIST MEMORIAL HOSPITAL-TIPTON
Other Organization Name
BMH-TIPTON AT BBCF KATE BOND
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2996 KATE BOND RD STE 100 BARTLETT, TN 38133
Location Phone
(901) 383-5570
Mailing Address
350 N HUMPHREYS BLVD MEMPHIS, TN 38120
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-02-2011
Last Update Date
09-30-2020
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Location Map

Secondary Locations

  • 80 Humphreys Center Dr Ste 330
    Memphis, TN 38120
    (901) 226-0364
  • 6215 Humphreys Blvd Ste 306
    Memphis, TN 38120
    (901) 226-0364
  • 2996 Kate Bond Rd Ste 207
    Bartlett, TN 38133
    (901) 379-0532
  • 1500 W Poplar Ave Ste 308
    Collierville, TN 38017
    (901) 861-8555
  • 1700 Woodlawn Ave
    Dyersburg, TN 38024
    (731) 259-6289
  • 6029 Walnut Grove Rd Ste 301
    Memphis, TN 38120
    (901) 747-9081
  • 6029 Walnut Grove Rd Ste 305
    Memphis, TN 38120
    (901) 226-0533
  • 1109 E Reelfoot Ave Ste F
    Union City, TN 38261
    (731) 884-1720
  • 6027 Walnut Grove Rd Ste 206
    Memphis, TN 38120
    (901) 226-3746

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Oncology, Radiation

Taxonomy Code
261QX0203X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREGORY M DUCKETT

Authorized Official Title
SR VP/ CLO
Authorized Official Phone
(901) 227-5233

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0958418
Facility Type
Hospital
Certificate Effective Date
September 03, 2023
Certificate Expiration Date
September 02, 2025
Laboratory Director
DR. CHARLES N. NEWMAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Bmh-tipton At Bbcf Kate Bond on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558647628
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251081241464
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 1 + 2 + 4 + 1 + 4 + 6 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1558647628 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

DR. PHILIP EDWARD LAMMERS M.D.

Internal Medicine

(Hematology & Oncology)

2996 KATE BOND RD STE 100
BARTLETT, TN
ZIP 38133

(901) 383-5570

MS. KANDICE M WALKER NP

Nurse Practitioner

(Family)

2996 KATE BOND RD STE 100
BARTLETT, TN
ZIP 38133

(901) 383-5570

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558647628, enumerated as an "organization" on November 02, 2011.

The provider is located at 2996 KATE BOND RD STE 100 BARTLETT, TN 38133 and the phone number is (901) 383-5570.

Clinic/Center with taxonomy code 261QX0203X and a focus in Oncology, Radiation.