HOLLANDALE PRIMARY CARE, INC. – NPI #1174528616
Clinic/Center

HOLLANDALE PRIMARY CARE, INC. is an AHC clinic located in HOLLANDALE, MS. NPPES has assigned the NPI number 1174528616 to HOLLANDALE PRIMARY CARE, INC. on June 20, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOLLANDALE PRIMARY CARE, INC. below.

NPI Profile for
HOLLANDALE PRIMARY CARE, INC.

NPI Number
1174528616
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOLLANDALE PRIMARY CARE, INC.
Primary location
1257 HWY 61 SOUTH
HOLLANDALE, MS 38748
Phone: (662) 827-2214 Fax: (662) 827-5019
Mailing address
PO BOX 247
HOLLANDALE, MS 38748-0247
Phone: (662) 827-2214 Fax: (662) 827-5019
Organization Subpart
No
Authorized Official
LELA PERKINS
MANAGING ADMINISTRATOR
Phone: (662) 827-7568
Updated
Identifiers

Identifiers for HOLLANDALE PRIMARY CARE, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS0914125
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.