Delta Specialty Clinic Pc

LBN: Delta Specialty Clinic Pc
Delta Specialty Clinic Pc is an health care organization with primary practice located at 930 Main St , Greenville MS 38701-4111. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Delta Specialty Clinic Pc can be contacted via phone (662) 332-8848, or through Colbert, Katherine via phone (662) 332-8848.

Contact Information

Primary practice address
930 Main St Greenville MS 38701-4111
Phone: (662) 332-8848
Fax: (662) 332-8854
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Katherine CPC
Phone: (662) 332-8848

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 18512 Mississippi

Profile Details

NPI number 1043564735
LBN Legal business name Delta Specialty Clinic Pc
DBA Doing business as
Authorized official Colbert, Katherine CPC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2012
Last updated Nov 7th, 2012 - about 12 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 1043564735 NPPES
Mississippi MEDICAID 05828295

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