DELTA REGIONAL MEDICAL CENTER (NPI# 1366592610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366592610 |
| Entity Type | Organization |
| Organization Name | DELTA REGIONAL MEDICAL CENTER |
| Other Organization Name | DELTA REGIONAL HEALTH CLINIC |
| Practice Address |
300 S Washington Ave Greenville MS 38701-4719 |
| Mailing Address |
Po Box 4739 Greenville MS 38704-4739 |
| Practice Telephone | 6623449100 |
| Practice Fax Number | 6627251154 |
| Mailing Telephone | 6627252423 |
| Mailing Fax Number | 6627252707 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-03-27 |
| 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 | 09015375 | 05 |
| Other Name | Type Code |
|---|---|
| Delta Regional Health Clinic | 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 |
| 1083764542 | Delta Regional Medical Center | Clinic/Center | 1513 E Union St, Greenville, MS 38703-3249 | 2007-01-10 |
| 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 |
300 S WASHINGTON AVE |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38701-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622201 | Chester W Jenkins | Psychiatry & Neurology | 300 S Washington Ave, Greenville, MS 38701-4719 | 2005-07-12 |
| 1598382640 | Eric Lynn Wilkerson II | Family Medicine | 300 S Washington Ave, Greenville, MS 38701-4719 | 2020-07-06 |
| 1255958302 | Abubakar Malik | Student in an Organized Health Care Education/Training Program | 300 S Washington Ave, Greenville, MS 38701-4719 | 2020-07-05 |
| 1083231229 | Jessica Joy Jenkins | Family Medicine | 300 S Washington Ave, Greenville, MS 38701-4719 | 2020-07-04 |
| 1396362737 | Anthony J Carter | Family Medicine | 300 S Washington Ave, Greenville, MS 38701-4719 | 2020-07-01 |
| 1578104741 | Delta Regional Medical Center-west Campus | Nurse Practitioner | 300 S Washington Ave, Greenville, MS 38701-4719 | 2019-09-30 |
| 1245871417 | Ryginna D Bennett | Nurse Practitioner | 300 S Washington Ave, Greenville, MS 38701-4719 | 2019-09-30 |
| 1437618543 | Rhonda Stewart | Nurse Practitioner | 300 S Washington Ave, Greenville, MS 38701-4719 | 2019-03-18 |
| 1134659428 | Timothy Brett Zepponi | Family Medicine | 300 S Washington Ave, Greenville, MS 38701-4719 | 2017-06-19 |
| 1689936999 | Kimberly L Martin | Counselor | 300 S Washington Ave, Greenville, MS 38701-4719 | 2012-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882328 | G & M Transportation LLC | Non-emergency Medical Transport (VAN) | 1525 South Dr. Mlk Dr, Suite E, Greenville, MS 38701 | 2018-05-21 |
| 1528564143 | Gyton Brijjetta Williams | Nurse Practitioner | 1400 East Union Street, Greenville, MS 38701 | 2018-04-03 |
| 1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
| 1861943425 | Roderick Montgomery | Non-emergency Medical Transport (VAN) | 537 Patricia Dr, Greenville, MS 38701 | 2016-10-19 |
| 1649694183 | Denise Wright | Nurse Practitioner | 1746-c Ms State Hwy 1 South, Greenville, MS 38701 | 2014-02-04 |
| 1174953525 | Sharkey-issaquena Adult Daycare | Psychologist | 449 Oakland Drive, Greenville, MS 38701 | 2013-11-21 |
| 1881953198 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 585 Tennessee Gas Rd, Greenville, MS 38701 | 2012-05-07 |
| 1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
| 1730305871 | First Choice Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 428 Highway 82 East, Greenville, MS 38701 | 2007-04-17 |
| 1750435301 | Greg Heath Hairston | Chiropractor | 871 Hwy 1 South, Greenville, MS 38701 | 2007-01-22 |
| Find all providers in zip 38701 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1689644403 | Sparrow Carson Hospital | Clinic/Center | 1014 E Washington St, Greenville, MI 48838 | 2006-01-24 |
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| 1922665702 | Heartland Women's Healthcare Ltd | Clinic/Center | 150 Health Care Dr, Greenville, IL 62246-1161 | 2019-05-28 |
| 1841758117 | Samaritan Health Care, PC | Clinic/Center | 811 E Kent Rd, Greenville, MI 48838-9791 | 2019-03-06 |
| 1881068708 | Plumas District Hospital | Clinic/Center | 176 Hot Springs Rd, Greenville, CA 95947-9747 | 2015-11-16 |
| 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 | 38701 |
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.