DELTA HEART & VASCULAR CENTER P.A. NPI 1174506281

NPI Information

NPI: 1174506281
Provider Name: DELTA HEART & VASCULAR CENTER, P.A.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1421 E UNION ST
GREENVILLE, MS
ZIP 38703
Phone: (662) 335-0183
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DELTA HEART & VASCULAR CENTER, P.A. is a health service clinic center in Greenville, MS. DELTA HEART & VASCULAR CENTER, P.A. NPI is 1174506281. The provider is registered as an organization entity type.

The provider's business location address is:

1421 E UNION ST
GREENVILLE, MS
ZIP 38703-247
Phone: (662) 335-0183
Fax: (662) 335-7184

The provider's authorized official is John L Herzog .
The authorized official title is Ceo/md and has the following contact phone number (662) 335-0183.

The enumeration date for this NPI number is 11/22/2005 and was last updated on 5/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9016026	MEDICAID	MISSISSIPPI
2	190990002	MEDICAID	ARKANSAS
3	DA3016	OTHER	MISSISSIPPI	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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