Organization
DELTA HEALTH CARE AND MANAGMENT SERVICES CORP.
Active
Other names
Delta Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT ANDREW WILLIAMS (EXECUTIVE DIRECTOR)
(209) 751-3920
Entity
Organization
Contact information
Practice address
1425 S CENTER ST, STOCKTON, CA 95206-2016
(209) 751-3920
(209) 751-3914
Mailing address
PO BOX 550, STOCKTON, CA 95201-0550
(209) 751-3920
(209) 751-3919
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
030000682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70817F
—
CA
05
—
CMM70825F
—
CA
05
—
CMM70920F
—
CA
01
—
EAP11503G
EAPC
CA
05
—
ZZR11503G
—
CA
Enumeration date
11/01/2006
Last updated
04/21/2016
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