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BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.

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Company Details

Name: BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 05 May 1989 (36 years ago)
Business ID: 563415
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 1100 Belk BoulevardOxford, MS 38655
Fictitious names: Baptist Oxford Outpatient Pharmacy
Historical names: Baptist Cancer Center - NMS Oxford
Baptist Gynecology Oncology
Baptist Rheumatology

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 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

Director

Name Role Address
Beth Fitts Director 350 N. Humphreys Blvd., Memphis, TN 38120
Darlene Washington Director 350 N. Humphreys Blvd., Memphis, TN 38120
Sherwin Haynie Director 350 N. Humphreys Blvd., Memphis, TN 38120

Chairman

Name Role Address
Sherwin Haynie Chairman 350 N. Humphreys Blvd., Memphis, TN 38120

Vice President

Name Role Address
Chris Anderson Vice President 350 North 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:
NHEMA3U8KMA8
CAGE Code:
896K0
UEI Expiration Date:
2025-09-04

Business Information

Division Name:
BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.
Activation Date:
2024-09-06
Initial Registration Date:
2019-01-23

National Provider Identifier

NPI Number:
1477108322
Certification Date:
2020-09-30

Authorized Person:

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

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Non-Profit Annual Report Filed 2025-01-08 Annual Report For BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.
Fictitious Name Renewal Filed 2024-10-04 Fictitious Name Renewal For BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.
Amendment Form Filed 2023-03-31 Amendment For BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.
Fictitious Name Renewal Filed 2022-12-05 Fictitious Name Renewal For BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.
Amendment Form Filed 2021-09-15 Amendment For BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.
Non-Profit Status Report Filed 2021-01-13 Status Report For BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.
Non-Profit Status Report Filed 2020-01-31 Status Report For BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.
Fictitious Name Registration Filed 2019-09-23 Fictitious Name Registration For BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.
Amendment Form Filed 2018-11-29 Amendment For BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.
Fictitious Name Registration Filed 2017-05-04 Fictitious Name Registration For BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC.

USAspending Awards / Financial Assistance

Date:
2020-08-17
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM
Obligated Amount:
749999.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
64-0772726
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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Date of last update: 21 Apr 2025

Sources: Mississippi Secretary of State