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DELTA LIFESTYLE SOLUTIONS NPI 1619579208


NPI Information

NPI: 1619579208
Provider Name: DELTA LIFESTYLE SOLUTIONS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 51D2200928

Address:
109 TOLLEY DR
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 623-6300
Get Directions

DELTA LIFESTYLE SOLUTIONS is a family medicine in Bridgeport, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DELTA LIFESTYLE SOLUTIONS NPI is 1619579208. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

109 TOLLEY DR
BRIDGEPORT, WV
ZIP 26330-669
Phone: (304) 623-6300
Fax: (304) 623-6302

The provider's authorized official is Mary Hackney .
The authorized official title is Owner and has the following contact phone number (304) 623-6300.

The CLIA number assigned to this NPI record is 51D2200928 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2020 and was last updated on 11/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11639326747MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.