<Unavail>
LBN: Delta Convenient Care Pc
<Unavail> is an health care organization with primary practice located at 17 Centre Plaza Dr , Jackson TN 38305-2862. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Delta Convenient Care Pc can be contacted via phone (731) 512-0104, or through Hage-Korban, Elie via phone (731) 512-0104.
Contact Information
Primary practice address
17 Centre Plaza Dr
Jackson TN 38305-2862
Phone: (731) 512-0104
Fax: (731) 512-0938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | Tennessee | |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1629016399 |
|---|---|
| LBN Legal business name | Delta Convenient Care Pc |
| DBA Doing business as | <Unavail> |
| Authorized official | Hage-Korban, Elie Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jun 5th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629016399 | NPPES |
| Tennessee | MEDICAID | 3720558 |
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