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
Phone: (662) 332-9872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
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 4 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 | 1174642144 | NPPES |
| Arkansas | MEDICAID | 156272002 | |
| Arkansas | MEDICAID | 09015100 |
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