MID DELTA FAMILY PRACTICE CLINIC (NPI# 1659466563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659466563 |
Entity Type | Organization |
Organization Name | MID DELTA FAMILY PRACTICE CLINIC |
Practice Address |
403 S Davis Ave Cleveland MS 38732-3411 |
Mailing Address |
Po Box 1040 Cleveland MS 38732-1040 |
Practice Telephone | 6628437299 |
Mailing Telephone | 6628437299 |
Mailing Fax Number | 6628430010 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. NATE BROWN (MEDICAL DIRECTOR) |
Authorized Official Telephone | 6628437299 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 173000000X | Legal Medicine | 10093 | MS | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558449348 | Mid Delta Family Practice Clinic | Family Medicine | 403 S. Davis, Cleveland, MS 38732 | 2006-11-01 |
Street Address |
403 S DAVIS AVE |
City | CLEVELAND |
State | MS |
Zip Code | 38732-3411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144483322 | Mid Delta Family Practice Clinic II Inc | Family Medicine | 403 S Davis Ave, Cleveland, MS 38732-3411 | 2008-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
Find all providers in zip 38732 |
Taxonomy Code | 173000000X |
Grouping | Other Service Providers |
Classification | Legal Medicine |
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275510372 | Arthur Lb Mateega | Legal Medicine | 16603 Harvard Ave, Cleveland, OH 44128-2203 | 2005-12-29 |
1730189408 | Joseph E Goin | Legal Medicine | 108 S William Barnett Ave, Cleveland, TX 77327-4542 | 2005-07-26 |
1427056076 | Andrew Jimerson | Legal Medicine | 11811 Shaker Blvd, Ste. 330, Cleveland, OH 44120-1931 | 2005-07-08 |
1811284458 | Shrif Joseph Costandi | Legal Medicine | 9500 Euclid Ave, C-25, Cleveland, OH 44195-0001 | 2011-07-04 |
1346454360 | James Sego Do Internal Medicine | Legal Medicine | 1510 Stuart Rd Ne, Suite 106, Cleveland, TN 37312-5858 | 2007-05-09 |
1265568042 | Calvary Medical Pa | Legal Medicine | 108 S William Barnett Ave, Cleveland, TX 77327-4542 | 2007-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285915686 | William Edward Bowlus | Legal Medicine | 24 Wimbledon Dr, Jackson, MS 39211-2443 | 2011-08-30 |
1215193933 | The Clinic At Elm Lake, P.a. | Legal Medicine | 3700 N Frontage Rd, Columbus, MS 39701 | 2008-08-01 |
1548315203 | Guardian Angel Healthcare II, Inc. | Legal Medicine | 347 Magnolia Dr, Raleigh, MS 39153-6011 | 2007-01-24 |
1952497422 | Charles H Williams | Legal Medicine | 1000 Lakeland Square Ext., Suite 800, Flowood, MS 39232-7649 | 2006-10-04 |
1770596918 | Jessie R Taylor | Legal Medicine | 1423 Palmetto Road, Verona, MS 38879 | 2006-08-15 |
1538170683 | Shanti Pandey | Legal Medicine | 821 Main St, Fayette, MS 39069-0008 | 2006-08-11 |
1437184017 | William H. Wallace | Legal Medicine | 1421 N State St # St.1, Ste. 504, Jackson, MS 39202-1658 | 2006-07-11 |
1184656068 | Robert Allen Smith | Legal Medicine | 1424 N. State St., Ste. 504, Jackson, MS 39202-1658 | 2006-07-07 |
1568459089 | River Bend Medical Clinic, Inc | Legal Medicine | 2659 Lakeland Dr, Flowood, MS 39232-9516 | 2005-09-29 |
1275539017 | Bernard G. De Asis | Legal Medicine | 117 South 11th Avenue, Laurel, MS 39440 | 2005-06-27 |
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.