MID DELTA FAMILY PRACTICE CLINIC


Address: 403 S Davis Ave, Cleveland, MS 38732-3411
Phone: 6628437299

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 173000000X Legal Medicine 10093 MS Other Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558449348 Mid Delta Family Practice Clinic Family Medicine 403 S. Davis, Cleveland, MS 38732 2006-11-01

Office Location

Street Address 403 S DAVIS AVE
City CLEVELAND
State MS
Zip Code 38732-3411

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 173000000X
Grouping Other Service Providers
Classification Legal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CLEVELAND
Zip Code 38732

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Dataset Information

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.

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