Mid-Delta Home Health Of Charleston, Inc.

LBN: Mid-Delta Home Health Of Charleston, Inc.
Mid-Delta Home Health Of Charleston, Inc. is an health care organization with primary practice located at 617 N State St , Clarksdale MS 38614-6517. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Mid-Delta Home Health Of Charleston, Inc. can be contacted via phone (662) 624-4910, or through Reed, Clara T. via phone (662) 247-1254.

Contact Information

Primary practice address
617 N State St Clarksdale MS 38614-6517
Fax: (662) 247-4924
Website:
Authorized official contact:
Name: Reed, Clara T. Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 7588 Mississippi

Profile Details

NPI number 1457376360
LBN Legal business name Mid-Delta Home Health Of Charleston, Inc.
DBA Doing business as
Authorized official Reed, Clara T. Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated May 8th, 2018 - about 8 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 1457376360 NPPES
Mississippi MEDICAID 70507
Mississippi Other 70645
Mississippi MEDICAID 770448
Mississippi MEDICAID 770387
Mississippi MEDICAID 121587
Mississippi Other 640718392A

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