Clarksdale Fam Med Center

LBN: Delta Medical Foundation
Clarksdale Fam Med Center is an health care organization with primary practice located at 1209 Lee Dr , Clarksdale MS 38614-3320. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Delta Medical Foundation can be contacted via phone (662) 326-3500, or through Moore, Lonnie via phone (662) 326-3500.

Contact Information

Primary practice address
1209 Lee Dr Clarksdale MS 38614-3320
Phone: (662) 326-3500
Fax: (662) 326-7077
Website:
Map and Directions
Authorized official contact:
Name: Moore, Lonnie
Phone: (662) 326-3500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1467949941
LBN Legal business name Delta Medical Foundation
DBA Doing business as Clarksdale Fam Med Center
Authorized official Moore, Lonnie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2018
Last updated Mar 1st, 2023 - about 2 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.

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