Delta Heart & Vascular Center, P.A.

LBN: Delta Heart & Vascular Center, P.A.
Delta Heart & Vascular Center, P.A. is an health care organization with primary practice located at 1421 E Union St , Greenville MS 38703-3247. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Delta Heart & Vascular Center, P.A. can be contacted via phone (662) 335-0183, or through Herzog, John L via phone (662) 335-0183.

Contact Information

Primary practice address
1421 E Union St Greenville MS 38703-3247
Phone: (662) 335-0183
Fax: (662) 335-7184
Website:
Map and Directions
Authorized official contact:
Name: Herzog, John L
Phone: (662) 335-0183

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1174506281
LBN Legal business name Delta Heart & Vascular Center, P.A.
DBA Doing business as
Authorized official Herzog, John L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2005
Last updated May 20th, 2021 - about 5 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 1174506281 NPPES
Arkansas MEDICAID 190990002
Arkansas MEDICAID 9016026
Arkansas Other DA3016

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