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BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC.

BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC.

Company Details

Name:	BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC.
Jurisdiction:	MISSISSIPPI
Business Type:	Non Profit Corporation
Status:	Good Standing
Effective Date:	28 Jan 1993 (32 years ago)
Business ID:	594510
ZIP code:	39703
County:	Lowndes
State of Incorporation:	MISSISSIPPI
Principal Office Address:	2520 Fifth Street North, PO Box 1307Columbus, MS 39703
Fictitious names:	Baptist Cancer Center - GTR Starkville BAPTIST BEHAVIORAL HEALTH CARE - GOLDEN TRIANGLE

Agent

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

Incorporator

Name	Role	Address
NOEL TABOR	Incorporator	8041 CHESTERFIELD, SOUTHAVEN, MS 38671

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
Don Davis	Director	350 N. Humphreys Blvd., Memphis, TN 38120
Dennis Erby	Director	350 N. Humphreys Blvd., Memphis, TN 38120
Jeff Farnham	Director	350 N. Humphreys Blvd., Memphis, TN 38120
Allen B Puckett, III	Director	350 N. Humphreys Blvd., Memphis, TN 38120
Mike Waters	Director	350 N. Humphreys Blvd., Memphis, TN 38120
Brandt Galloway	Director	350 N. Humphreys Blvd., Memphis, TN 38120
Michelle Whittle	Director	350 N Humphreys Blvd, Memphis, TN 38120

Vice President

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

Chairman

Name	Role	Address
Mike Waters	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:

ZBWMY9AKAJB3

CAGE Code:

0ZBZ2

UEI Expiration Date:

2025-10-09

Business Information

Activation Date:

2024-10-11

Initial Registration Date:

2020-10-16

National Provider Identifier

NPI Number:

1043466352

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:

207RC0000X - Cardiovascular Disease Physician

Is Primary:

Yes

Contacts:

Phone:

+1 662-244-1500

Fax:

6622441651

Filings

Type	Status	Filed Date	Description
Fictitious Name Renewal	Filed	2025-01-24	Fictitious Name Renewal For BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC.
Non-Profit Annual Report	Filed	2025-01-08	Annual Report For BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC.
Amendment Form	Filed	2023-04-05	Amendment For BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC.
Fictitious Name Renewal	Filed	2022-12-05	Fictitious Name Renewal For BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC.
Amendment Form	Filed	2021-09-15	Amendment For BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC.
Non-Profit Status Report	Filed	2021-01-13	Status Report For BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC.
Fictitious Name Registration	Filed	2020-06-08	Fictitious Name Registration For BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC.
Amendment Form	Filed	2018-11-29	Amendment For BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC.
Reinstatement Tax	Filed	2018-03-22	Tax Clearance Letter
Fictitious Name Registration	Filed	2017-05-04	Fictitious Name Registration For BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC.

OSHA's Inspections within Industry

Inspection Summary

Date:

2018-09-20

Type:

Referral

Address:

2520 5TH STREET NORTH, COLUMBUS, MS, 39705

Safety Health:

Safety

Scope:

Records

Tax Exempt

Employer Identification Number (EIN) :

62-1519754

In Care Of Name:

% ACCOUNTING DEPT

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:

1993-09

Deductibility:

Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Date of last update: 22 Apr 2025

Sources: Mississippi Secretary of State