| Delta Health-greenville Medical Group | |
|
1502 S Colorado St Greenville MS 38703-7219 | |
| (662) 332-9872 | |
| Not Available |
| Full Name | Delta Health-greenville Medical Group |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1502 S Colorado St, Greenville, Mississippi |
| Authorized Official Name and Position | Iris Stacker (CEO) |
| Authorized Official Contact | 6627252264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Health-greenville Medical Group Po Box 23998 Jackson MS 39225-3998 Ph: (662) 725-2749 | Delta Health-greenville Medical Group 1502 S Colorado St Greenville MS 38703-7219 Ph: (662) 332-9872 |
| NPI Number | 1174642144 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174642144 | NPI | - | NPPES |
| 156272002 | Medicaid | AR | |
| 09015100 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
The Greenville Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-332-9872 Fax: 662-332-9878 | |
Magnolia Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Colorado St, Greenville, MS 38703 Phone: 662-332-2077 Fax: 662-332-0790 | |
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Dominick Trinca, M.d. Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 Highway 1 S, Greenville, MS 38701 Phone: 662-820-4363 | |
Np Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 559a Highway 1 N, Greenville, MS 38701 Phone: 662-702-5159 Fax: 662-702-5164 | |
Delta Health Provider Based Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 E Union St, Greenville, MS 38703 Phone: 662-378-3783 Fax: 662-725-2289 | |
F H Faith Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Hospital St, Greenville, MS 38703 Phone: 662-332-8848 Fax: 662-332-8854 |