Delta Health-Greenville Medical Group

LBN: Delta Physician Practices
Delta Health-Greenville Medical Group is an health care organization with primary practice located at 1502 S Colorado St , Greenville MS 38703-7219. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty. Delta Physician Practices can be contacted via phone (662) 332-9872, or through Stacker, Iris via phone (662) 725-2264.

Contact Information

Primary practice address
1502 S Colorado St Greenville MS 38703-7219
Fax:
Website:
Authorized official contact:
Name: Stacker, Iris

Profile Details

NPI number 1174642144
LBN Legal business name Delta Physician Practices
DBA Doing business as Delta Health-Greenville Medical Group
Authorized official Stacker, Iris
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 28th, 2007
Last updated Nov 4th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174642144 NPPES
Arkansas MEDICAID 156272002
Arkansas MEDICAID 09015100

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