DELTA MEDICAL FOUNDATION (NPI# 1508363060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508363060 |
| Entity Type | Organization |
| Organization Name | DELTA MEDICAL FOUNDATION |
| Other Organization Name | WARRINGTON CLINIC |
| Practice Address |
1209 Broadway St Shelby MS 38774-0269 |
| Mailing Address |
Po Box 289 Marks MS 38646-0289 |
| Practice Telephone | 6623985111 |
| Practice Fax Number | 6623987023 |
| Mailing Telephone | 6623985111 |
| Mailing Fax Number | 6623987123 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | LEA LONG (ADMINISTRATOR) |
| Authorized Official Telephone | 6623263500 |
| 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 | 01438064 | 05 |
| Other Name | Type Code |
|---|---|
| Warrington Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467949941 | Delta Medical Foundation | Clinic/Center | 551 Medical Dr, Clarksdale, MS 38614-6733 | 2018-04-19 |
| 1720585490 | Delta Medical Foundation | Clinic/Center | 1024 Martin Luther King Dr, Marks, MS 38646-1832 | 2018-04-10 |
| Street Address |
1209 BROADWAY ST |
| City | SHELBY |
| State | MS |
| Zip Code | 38774-0269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619431210 | Deborah D Gibbs | Clinic/Center | 1403 S Broadway, Shelby, MS 38774 | 2019-01-28 |
| 1598904377 | Hl Campbell Rural Health Clinic | Clinic/Center | 901 Forest Street, Shelby, MS 38774 | 2009-02-18 |
| 1588836514 | Sherica Anshon Willilams-reed | Speech-Language Pathologist | 405 East Third Ave, Shelby, MS 38774 | 2008-03-31 |
| 1548395825 | Shelby Drug Co Inc Hwy 61 South | Pharmacy | 1211 Broadway Hwy 61 So, Shelby, MS 38774 | 2007-02-23 |
| 1265945828 | Sharda Johnson | Homemaker | 1001 Broadway, Shelby, MS 38774 | 2017-11-06 |
| 1750646576 | Dorothy Grady-scarbrough | Registered Nurse | 700 Robert D. Gray Ave, Shelby, MS 38774-0028 | 2012-07-09 |
| 1053595652 | It's A Blessing Adult Day Care Inc | Clinic/Center | 902 Louisiana St, Shelby, MS 38774-0171 | 2007-12-19 |
| 1669792305 | Mercy Hospice and Palliative Care, Incorporated | Hospice, Inpatient | 901 Forest Street, Post Office Box, Shelby, MS 38774-0282 | 2010-06-04 |
| 1124155650 | Louise H. Hemingway | Speech-Language Pathologist | 1902 Broadway Street, Shelby, MS 38774-0603 | 2007-02-28 |
| 1104818541 | Pensacola Health Trust Inc | Skilled Nursing Facility | 1108 Church St, Shelby, MS 38774-2200 | 2005-08-22 |
| Find all providers in zip 38774 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598904377 | Hl Campbell Rural Health Clinic | Clinic/Center | 901 Forest Street, Shelby, MS 38774 | 2009-02-18 |
| 1316054034 | Shelby County Chris A Myrtue Memorial Hospital | Clinic/Center | 301 East Street, Shelby, IA 51570-3319 | 2006-08-25 |
| 1528046513 | Cleco Primary Care Network | Clinic/Center | 808 Schenck Street, Shelby, NC 28150 | 2006-01-09 |
| 1588080030 | Mercy Health Partners | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1209 | 2014-03-07 |
| 1407099393 | Lakeshore Community Hospital, Inc | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1239 | 2009-04-08 |
| 1982855144 | Lakeshore Community Hospital, Inc. | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1209 | 2008-10-07 |
| 1689759169 | Shelby County Chris A. Myrtue Memorial Hospital | Clinic/Center | 301 East Street, Shelby, IA 51570 | 2006-10-25 |
| 1669443487 | Cleco Primary Care Network | Clinic/Center | 808 Schenck Street, Shelby, NC 28150 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
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| 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.