DELTA REGIONAL MEDICAL CENTER (NPI# 1083764542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083764542 |
Entity Type | Organization |
Organization Name | DELTA REGIONAL MEDICAL CENTER |
Other Organization Name | DELTA REGIONAL FAMILY CARE |
Practice Address |
1513 E Union St Greenville MS 38703-3249 |
Mailing Address |
Po Box 4739 Greenville MS 38704-4739 |
Practice Telephone | 6623347747 |
Practice Fax Number | 6623347794 |
Mailing Telephone | 6627252749 |
Mailing Fax Number | 6627252741 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2012-01-11 |
Authorized Official Name | STANSEL HARVEY (CEO) |
Authorized Official Telephone | 6623783783 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 03357524 | 05 |
Other Name | Type Code |
---|---|
Delta Regional Family Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972112183 | Delta Regional Medical Center | Clinic/Center | 804 E. Sunflower Road, Cleveland, MS 38732-2824 | 2020-07-24 |
1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
1578171872 | Delta Regional Medical Center | Clinic/Center | 581 Medical Dr, Clarksdale, MS 38614-6733 | 2020-07-22 |
1184232498 | Delta Regional Medical Center | Clinic/Center | 1514 E Union St, Greenville, MS 38703-3248 | 2020-07-22 |
1922633924 | Delta Regional Medical Center | Clinic/Center | 108 Main Street, Arcola, MS 38722 | 2020-03-10 |
1841841210 | Delta Regional Medical Center | Family Medicine | 108 Main Street, Arcola, MS 38722 | 2019-09-26 |
1366592610 | Delta Regional Medical Center | Clinic/Center | 300 S Washington Ave, Greenville, MS 38701-4719 | 2007-01-11 |
1306921887 | Delta Regional Medical Center | General Acute Care Hospital | 1400 E Union St, Greenville, MS 38703-3246 | 2006-10-25 |
1760567168 | Delta Regional Medical Center | Rehabilitation Unit | 1400 E Union St, Greenville, MS 38703-3246 | 2006-10-25 |
1497830806 | Delta Regional Medical Center | Psychiatric Unit | 300 S Washington Ave, Greenville, MS 38701-4719 | 2006-10-25 |
Street Address |
1513 E UNION ST |
City | GREENVILLE |
State | MS |
Zip Code | 38703-3249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427094432 | Kathleen Anne Mansour | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2006-06-20 |
1295854206 | Delta Physician Practices | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2007-03-29 |
1780604066 | Patricia E Hemphill | Nurse Practitioner | 1513 E Union St, Greenville, MS 38703-3249 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
Find all providers in zip 38703 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1316143043 | Eastern Plumas Health Care District | Clinic/Center | 176 Hot Springs Rd, Greenville, CA 95947 | 2007-06-21 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 38703 |
Please comment or provide details below to improve the information on DELTA REGIONAL MEDICAL CENTER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.