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  5. MISSISSIPPI BAPTIST MEDICAL CENTER, INC.

MISSISSIPPI BAPTIST MEDICAL CENTER, INC.

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Company Details

Name: MISSISSIPPI BAPTIST MEDICAL CENTER, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 30 Aug 1996 (29 years ago)
Business ID: 633586
ZIP code: 39202
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 1225 N State StreetJackson, MS 39202
Fictitious names: Baptist Memorial Hospital - Mississippi Baptist Medical Center
Baptist Family Pharmacy

Agent

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

Incorporator

Name Role Address
LYNN HARKNESS Incorporator 103 W CHINA ST, LEXINGTON, MS 39095-90
WAYNE BURKES Incorporator 401 N WEST ST, JACKSON, MS 39201
ELLIS M MOFFETT Incorporator 463 ANNANDALE PKWY, MADISON, MS 39110
RHYNE NEUBERT Incorporator 28 AUTUMN HILL COURT, MADISON, MS 39110
RALPH RIVES Incorporator 420 AUTUMN OAK DR, MADISON, MS 39110
JAMES W STREET Incorporator 1300 W CAPITOL ST, JACKSON, MS 39203
HOWARD L MCMILLLAN JR Incorporator DEPOSIT GUARANTY PLAZA 4TH FL, JACKSON, MS 39201

President

Name Role Address
Jason 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
Karlen Turbeville Director 350 N. Humphreys Blvd., Memphis, TN 38120
Douglas M. Buckles, Sr. Director 350 N. Humphreys Blvd., Memphis, TN 38120
Paul W. Calhoun Director 350 N. Humphreys Blvd., Memphis, TN 38120
Alveno N. Castilla Director 350 N. Humphreys Blvd., Memphis, TN 38120
Robert M. Gathings, Jr. Director 350 N. Humphreys Blvd., Memphis, TN 38120
Arthur Jernigan Director 350 N. Humphreys Blvd., Memphis, TN 38120
Lee D Miller Director 350 N. Humphreys Blvd., Memphis, TN 38120
Michael Maples MD Director 350 N Humphreys Blvd, Memphis, TN 38120

Chairman

Name Role Address
Karlen Turbeville Chairman 350 N. Humphreys Blvd., Memphis, TN 38120

Unique Entity ID

Unique Entity ID:
JU4NTRL9NZQ2
CAGE Code:
1P3D1
UEI Expiration Date:
2025-09-27

Business Information

Activation Date:
2024-10-01
Initial Registration Date:
2002-04-23

Commercial and government entity program

CAGE number:
1P3D1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-01
CAGE Expiration:
2029-10-01
SAM Expiration:
2025-09-27

Contact Information

POC:
ARTHUR MAPLES

Immediate Level Owner

Vendor Certified:
2024-10-01
CAGE number:
88QY2
Company Name:
BAPTIST MEMORIAL HEALTH CARE CORP

National Provider Identifier

NPI Number:
1235942061
Certification Date:
2025-01-27
Link:
View on NPI website

Authorized Person:

Name:
GREGORY M DUCKETT
Role:
EVP CLO
Phone:
9012275233

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 601-968-6350

Filings

Type Status Filed Date Description
Non-Profit Annual Report Filed 2025-01-10 Annual Report For MISSISSIPPI BAPTIST MEDICAL CENTER, INC.
Fictitious Name Renewal Filed 2023-10-02 Fictitious Name Renewal For MISSISSIPPI BAPTIST MEDICAL CENTER, INC.
Amendment Form Filed 2023-04-04 Amendment For MISSISSIPPI BAPTIST MEDICAL CENTER, INC.
Fictitious Name Registration Filed 2022-08-29 Fictitious Name Registration For MISSISSIPPI BAPTIST MEDICAL CENTER, INC.
Amendment Form Filed 2021-09-15 Amendment For MISSISSIPPI BAPTIST MEDICAL CENTER, INC.
Non-Profit Status Report Filed 2021-08-09 Status Report For MISSISSIPPI BAPTIST MEDICAL CENTER, INC.
Non-Profit Status Report Filed 2021-05-03 Status Report For MISSISSIPPI BAPTIST MEDICAL CENTER, INC.
Non-Profit Status Report Filed 2021-01-20 Status Report For MISSISSIPPI BAPTIST MEDICAL CENTER, INC.
Amendment Form Filed 2018-11-30 Amendment For MISSISSIPPI BAPTIST MEDICAL CENTER, INC.
Fictitious Name Registration Filed 2018-07-03 Fictitious Name Registration For MISSISSIPPI BAPTIST MEDICAL CENTER, INC.

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA25612P1080
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
1383.30
Base And Exercised Options Value:
1383.30
Base And All Options Value:
1383.30
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2012-02-22
Description:
IMMUNOFIXATION ELECTROPHORESIS LAB TESTING
Naics Code:
813910: BUSINESS ASSOCIATIONS
Product Or Service Code:
Q301: MEDICAL- LABORATORY TESTING
Procurement Instrument Identifier:
DJBSERJV2020184
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
3550.00
Base And Exercised Options Value:
3550.00
Base And All Options Value:
3550.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2010-10-14
Description:
NON-BOP MEDICAL
Naics Code:
813910: BUSINESS ASSOCIATIONS
Product Or Service Code:
Q999: OTHER MEDICAL SERVICES

OSHA's Inspections within Industry

Inspection Summary

Date:
2020-02-19
Type:
Referral
Address:
1225 N STATE STREET, JACKSON, MS, 39202
Safety Health:
Health
Scope:
NoInspection

Inspection Summary

Date:
1998-04-01
Type:
Accident
Address:
1151 N STATE ST. (MEDICAL ARTS WEST BLDG.), JACKSON, MS, 39202
Safety Health:
Safety
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
1994-03-30
Type:
Planned
Address:
1225 NORTH STATE STREET, JACKSON, MS, 39202
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
1990-07-10
Type:
Complaint
Address:
1225 NORTH STATE STREET, JACKSON, MS, 39202
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Tax Exempt

Employer Identification Number (EIN) :
64-0881013
In Care Of Name:
% WILLIAM F THOMPSON
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:
1998-02
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: 20 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website

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