Delta Health Care

LBN: Delta Health Care And Managment Services Corp.
Delta Health Care is an health care organization with primary practice located at 1425 S Center St , Stockton CA 95206-2016. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Delta Health Care And Managment Services Corp. can be contacted via phone (209) 751-3920, or through Williams, Brent Andrew via phone (209) 751-3920.

Contact Information

Primary practice address
1425 S Center St Stockton CA 95206-2016
Fax: (209) 751-3914
Website:
Authorized official contact:
Name: Williams, Brent Andrew

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 030000682 California

Profile Details

NPI number 1407934458
LBN Legal business name Delta Health Care And Managment Services Corp.
DBA Doing business as Delta Health Care
Authorized official Williams, Brent Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 21st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407934458 NPPES
California Other EAP11503G EAPC
California MEDICAID CMM70825F EAPC
California MEDICAID CMM70920F EAPC
California MEDICAID CMM70817F EAPC
California MEDICAID ZZR11503G EAPC

Popular Providers