Delta Wellness Clinic For Families Llc

LBN: Delta Wellness Clinic For Families Llc
Delta Wellness Clinic For Families Llc is an health care organization with primary practice located at 1585 S Main St , Greenville MS 38701-7008. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Delta Wellness Clinic For Families Llc can be contacted via phone (662) 332-8848, or through Colbert, Katherine via phone (662) 332-8848.

Contact Information

Primary practice address
1585 S Main St Greenville MS 38701-7008
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 / Primary Care 261QP2300X 14161 Mississippi

Profile Details

NPI number 1144669375
LBN Legal business name Delta Wellness Clinic For Families Llc
DBA Doing business as
Authorized official Colbert, Katherine CPC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2013
Last updated Jun 20th, 2013 - about 13 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 1144669375 NPPES
Mississippi MEDICAID 00114839

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