Hollandale Primary Care, Inc.

LBN: Hollandale Primary Care, Inc.
Hollandale Primary Care, Inc. is an health care organization with primary practice located at 1257 Hwy 61 South , Hollandale MS 38748. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Hollandale Primary Care, Inc. can be contacted via phone (662) 827-2214, or through Perkins, Lela via phone (662) 827-7568.

Contact Information

Primary practice address
1257 Hwy 61 South Hollandale MS 38748
Phone: (662) 827-2214
Fax: (662) 827-5019
Website:
Map and Directions
Authorized official contact:
Name: Perkins, Lela
Phone: (662) 827-7568

Health care specialties

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

Profile Details

NPI number 1174528616
LBN Legal business name Hollandale Primary Care, Inc.
DBA Doing business as
Authorized official Perkins, Lela
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 22nd, 2020 - 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 1174528616 NPPES
Mississippi MEDICAID 0914125

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