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DELTA MEDICAL SERVICES LLC NPI 1962778985


NPI Information

NPI: 1962778985
Provider Name: DELTA MEDICAL SERVICES, LLC

Former Legal Business Name: DELTA MEDICAL SERVICES, INC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 44D0314500

Address:
3000 GETWELL RD
MEMPHIS, TN
ZIP 38118
Phone: (901) 369-6089
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DELTA MEDICAL SERVICES, LLC is a specialist in Memphis, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DELTA MEDICAL SERVICES, LLC NPI is 1962778985. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Delta Medical Services, Inc.

The provider's business location address is:

3000 GETWELL RD
MEMPHIS, TN
ZIP 38118-205
Phone: (901) 369-6089
Fax: (901) 369-6925

The provider's authorized official is Christopher Howard .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 44D0314500 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2012 and was last updated on 4/10/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2174400000XSpecialistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110370G4540MEDICARE PINTENNESSEE
21529687MEDICAIDTENNESSEE

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

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.