DELTA FAMILY MEDICAL SERVICES INC (NPI# 1144529983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144529983 |
Entity Type | Organization |
Organization Name | DELTA FAMILY MEDICAL SERVICES INC |
Practice Address |
1554 S Colorado St Greenville MS 38703-7219 |
Mailing Address |
164 Bayou Rd Greenville MS 38701-7731 |
Practice Telephone | 6623348557 |
Practice Fax Number | 6623348565 |
Mailing Telephone | 6623348557 |
Mailing Fax Number | 6623348565 |
Enumeration Date | 2011-03-18 |
Last Update Date | 2019-11-14 |
Authorized Official Name | DR. ROBERT NEAL SUARES JR. (OWNER) |
Authorized Official Telephone | 6623348557 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
20731 | MS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 08506528 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
304 Crittenden St, Greenville, MS 387016329 | 6623328848 | 6623328854 |
Street Address |
1554 S COLORADO ST |
City | GREENVILLE |
State | MS |
Zip Code | 38703-7219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
Find all providers in zip 38703 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1932612439 | Drumm Enterprises, Inc | Clinic/Center | 12 Waite St Ste A1, Greenville, SC 29607-3215 | 2017-11-07 |
1316301146 | Pediatric Hair Solutions Corporation | Clinic/Center | 319 Garlington Rd, Suite C-7, Greenville, SC 29615-4620 | 2016-04-07 |
1245651819 | Palmetto Hospitalist Services LLC | Clinic/Center | 2131 Woodruff Rd Ste 2100, #269, Greenville, SC 29607-5959 | 2013-12-26 |
1760555346 | Lawler and Associates, LLC | Clinic/Center | 38 Boland Ct, Greenville, SC 29615-5707 | 2006-11-15 |
1568480432 | Westside Medical Center | Clinic/Center | 3204 White Horse Rd Ste D, Greenville, SC 29611-5916 | 2006-07-18 |
1427010578 | Health Access Inc | Clinic/Center | 2610 Stantonsburg Rd, Greenville, NC 27834-5910 | 2006-04-04 |
1174506281 | Delta Heart & Vascular Center, P.a. | Clinic/Center | 1421 E Union St, Greenville, MS 38703-3247 | 2005-11-22 |
1821600677 | Ash and Ivy Ltd Co | Clinic/Center | 880 S Pleasantburg Dr Ste 4d, Greenville, SC 29607-2453 | 2020-08-21 |
1801404058 | The Cagle Center of Wellness | Clinic/Center | 307 Rutherford St, Greenville, SC 29609-5309 | 2020-07-14 |
1962807560 | Abundant Life Chiropractic Inc | Clinic/Center | 1615 Wade Hampton Blvd, Suite B, Greenville, SC 29609-5062 | 2014-10-27 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 38703 |
Please comment or provide details below to improve the information on DELTA FAMILY MEDICAL SERVICES INC.
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.