Mid Delta Family Practice Clinic

LBN: Mid Delta Family Practice Clinic
Mid Delta Family Practice Clinic is an health care organization with primary practice located at 403 S. Davis , Cleveland MS 38732. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mid Delta Family Practice Clinic can be contacted via phone (662) 843-7299, or through Brown, Nate via phone (662) 843-7299.

Contact Information

Primary practice address
403 S. Davis Cleveland MS 38732
Phone: (662) 843-7299
Fax: (662) 843-0010
Website:
Map and Directions
Authorized official contact:
Name: Brown, Nate Doctor of Medicine (MD)
Phone: (662) 843-7299

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1558449348
LBN Legal business name Mid Delta Family Practice Clinic
DBA Doing business as
Authorized official Brown, Nate Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated May 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558449348 NPPES
Mississippi MEDICAID 0014000

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