Delta State University

LBN: Delta State University
Delta State University is an health care organization with primary practice located at 1003 W Sunflower Rd , Cleveland MS 38733-0001. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Delta State University can be contacted via phone (662) 846-4280, or through Havard, Abby via phone (662) 846-4280.

Contact Information

Primary practice address
1003 W Sunflower Rd Cleveland MS 38733-0001
Phone: (662) 846-4280
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Havard, Abby Licensed Athletic Trainer (LAT)
Phone: (662) 846-4280

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1730467648
LBN Legal business name Delta State University
DBA Doing business as
Authorized official Havard, Abby Licensed Athletic Trainer (LAT)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2011
Last updated Oct 4th, 2021 - 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.

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