DELTA ENDOSCOPY CENTER P.C. NPI 1619923661

NPI Information

NPI: 1619923661
Provider Name: DELTA ENDOSCOPY CENTER, P.C.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 25D2091539

Address:
9140 HIGHWAY 51 N
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 280-8222
Get Directions

DELTA ENDOSCOPY CENTER, P.C. is an ambulatory surgical clinic center in Southaven, MS. DELTA ENDOSCOPY CENTER, P.C. NPI is 1619923661. The provider is registered as an organization entity type.

The provider's business location address is:

9140 HIGHWAY 51 N
SOUTHAVEN, MS
ZIP 38671-233
Phone: (662) 280-8222
Fax: (662) 280-5541

The provider's authorized official is Ulric D. Duncan .
The authorized official title is Gastroenterologist and has the following contact phone number (662) 280-8222.

The CLIA number assigned to this NPI record is 25D2091539 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 4/20/2008.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	15684	MISSISSIPPI	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	3134453	OTHER	MISSISSIPPI	BLUECROSS BLUESHIELD TN
2	=========	OTHER	MISSISSIPPI	MUTUAL OF OMAHA
3	=========	OTHER		AETNA
4	=========	OTHER		UNITED HEALTHCARE
5	00770356	MEDICAID	MISSISSIPPI
6	=========	OTHER	TENNESSEE	TLC
7	=========	OTHER	MISSISSIPPI	OMNICARE
8	=========	OTHER		CIGNA
9	4287022	OTHER	MISSISSIPPI	TENNESEE MEDICAID
10	=========	OTHER	MISSISSIPPI	BLUECROSS BLUESHIELD
11	=========	OTHER		TCS

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »