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MISSISSIPPI BAPTIST MEDICAL CENTER

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Company Details

Name: MISSISSIPPI BAPTIST MEDICAL CENTER
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Effective Date: 11 Jan 1912 (114 years ago)
Business ID: 212389
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
GWINN MAGEE Agent 1225 N STATE ST, JACKSON, MS 39202

Incorporator

Name Role Address
J H PRICE Incorporator No data
J N MCMILLAN Incorporator J, JACKSON, MS
W A BORUM Incorporator J, JACKSON, MS

National Provider Identifier

NPI Number:
1720117286
Certification Date:
2020-09-30

Authorized Person:

Name:
GREGORY DUCKETT
Role:
SR VP/ CLO
Phone:

Taxonomy:

Selected Taxonomy:
341600000X - Ambulance
Is Primary:
Yes

Contacts:

Fax:
6012924592

Filings

Type Status Filed Date Description
Amendment Form Filed 1996-06-26 Amendment

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Date of last update: 09 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website