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  5. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.

BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.

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Company Details

Name: BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 22 Mar 1989 (36 years ago)
Business ID: 562296
ZIP code: 38652
County: Union
State of Incorporation: MISSISSIPPI
Principal Office Address: 200 Highway 30 WestNew Albany, MS 38652
Fictitious names: Baptist Cancer Center - Union County
BMH-UC
BMH-Union County
Baptist New Albany Outpatient Pharmacy

Agent

Name Role Address
C. T. CORPORATION SYSTEM Agent 645 LAKELAND EAST DRIVE STE 101, FLOWOOD, MS 39232

Incorporator

Name Role Address
CLARENCE L STANFORD D D S Incorporator 306 N COMMERCE, P O BOX 415, RIPLEY, MS 38663

President

Name Role Address
Jason M Little President 350 N. Humphreys Blvd, Memphis, TN 38120

Secretary

Name Role Address
Gregory M Duckett Secretary 350 N. Humphreys Blvd, Memphis, TN 38120

Vice President

Name Role Address
Chris Anderson Vice President 350 N. Humphreys Blvd, Memphis, TN 38120

Director

Name Role Address
Colt Doom Director 350 N. Humphreys Blvd., Memphis, TN 38120
Dr. John Stanford Director 350 N. Humphreys Blvd., Memphis, TN 38120
Rusty Berryhill Director 350 N. Humphreys Blvd., Memphis, TN 38120

Chairman

Name Role Address
Colt Doom Chairman 350 N. Humphreys Blvd., Memphis, TN 38120

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
YMKANG3JULW4
CAGE Code:
5WLW8
UEI Expiration Date:
2025-09-04

Business Information

Activation Date:
2024-09-06
Initial Registration Date:
2010-02-22

National Provider Identifier

NPI Number:
1376150029
Certification Date:
2020-09-30
Link:
View on NPI website

Authorized Person:

Name:
GREGORY M DUCKETT
Role:
SR VP/ CLO
Phone:
9012275233

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 901-227-4133
Fax:
9012275004
Phone:
+1 662-538-2190
Fax:
6625382191

Filings

Type Status Filed Date Description
Non-Profit Annual Report Filed 2025-01-08 Annual Report For BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.
Fictitious Name Registration Filed 2024-12-30 Fictitious Name Registration For BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.
Amendment Form Filed 2023-03-31 Amendment For BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.
Fictitious Name Renewal Filed 2021-11-01 Fictitious Name Renewal For BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.
Amendment Form Filed 2021-09-15 Amendment For BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.
Non-Profit Status Report Filed 2021-01-13 Status Report For BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.
Amendment Form Filed 2018-11-29 Amendment For BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.
Fictitious Name Registration Filed 2016-05-06 Fictitious Name Registration For BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.
Fictitious Name Registration Filed 2016-04-08 Fictitious Name Registration For BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.
Formation Form Filed 2011-05-06 Formation

USAspending Awards / Contracts

Procurement Instrument Identifier:
DJBP0508LVB230028
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
14519.50
Base And Exercised Options Value:
14519.50
Base And All Options Value:
14519.50
Awarding Agency Name:
Department of Justice
Performance Start Date:
2012-09-28
Description:
IGF::OT::IGF INMATE MEDICAL SERVICES
Naics Code:
423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE
Procurement Instrument Identifier:
DJBP0508LVB230027
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
17694.06
Base And Exercised Options Value:
17694.06
Base And All Options Value:
17694.06
Awarding Agency Name:
Department of Justice
Performance Start Date:
2012-09-26
Description:
IGF::OT::IGF INMATE MEDICAL SERVICES
Naics Code:
423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE
Procurement Instrument Identifier:
W9127811P0275
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
408.00
Base And Exercised Options Value:
408.00
Base And All Options Value:
408.00
Awarding Agency Name:
Department of Defense
Performance Start Date:
2011-07-28
Description:
TAS::96 4902::TAS HEALTH CLUB MEMBERSHIP FOR TENN-TOM PROJECT MANAGEMENT OFFICE
Naics Code:
713940: FITNESS AND RECREATIONAL SPORTS CENTERS
Product Or Service Code:
W078: LEASE-RENT OF RECREATIONAL EQ

Tax Exempt

Employer Identification Number (EIN) :
63-0997281
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1989-08
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Chris Anderson

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Colt Doom

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Date of last update: 21 Apr 2025

Sources: Mississippi Secretary of State

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