DELTA REGIONAL MEDICAL CENTER (NPI# 1972112183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972112183 |
Entity Type | Organization |
Organization Name | DELTA REGIONAL MEDICAL CENTER |
Other Organization Name | CLEVELAND CANCER CENTER |
Practice Address |
804 E. Sunflower Road Cleveland MS 38732-2824 |
Mailing Address |
Po Box 5247 Greenville MS 38704-5247 |
Practice Telephone | 6628431422 |
Practice Fax Number | 6628430046 |
Mailing Telephone | 6623342021 |
Mailing Fax Number | 6627252189 |
Enumeration Date | 2020-07-24 |
Last Update Date | 2020-08-17 |
Authorized Official Name | SCOTT CHRISTENSEN (CEO) |
Authorized Official Telephone | 6627252097 |
Is Organization Subpart | Y |
Parent Organization Name | DELTA REGIONAL MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Cleveland Cancer Center | Doing Business As Name - Organization |
Delta Regional Medical Oncology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
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 |
804 E. SUNFLOWER ROAD |
City | CLEVELAND |
State | MS |
Zip Code | 38732-2824 |
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 | 261QX0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oncology |
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447573977 | Greenville Hem-onc PC | Clinic/Center | 1556 Bellewood Dr, Greenville, MS 38701-6970 | 2010-03-11 |
1841494895 | Hattiesburg Clinic, Pa | Clinic/Center | 103 Asbury Cir, Hattiesburg, MS 39402-1302 | 2007-06-13 |
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 |
1487099958 | Delta Oncology, Inc. | Clinic/Center | 333 Highway 82 W, Greenwood, MS 38930-6538 | 2013-05-09 |
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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.