Organization
DELTA REGIONAL MEDICAL CENTER AMBULANCE SERVICE
Active
Other names
Delta Health-Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS STACKER (CEO)
(662) 725-2264
Entity
Organization
Contact information
Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
(662) 725-2289
Mailing address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
(662) 725-2289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
147
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050890
—
MS
Enumeration date
10/19/2006
Last updated
11/14/2022
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