Hollandale Primary Care, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

HOLLANDALE PRIMARY CARE, INC.

Practice address

1257 Hwy 61 South
Hollandale, MS 38748

Phone

(662) 827-2214

Fax

(662) 827-5019

NPI assigned

Jun 20, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lela Perkins

Title

Managing Administrator

Phone

(662) 827-7568

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Caselli, CFNP

  • Family Medicine Physician
  • Rolling Fork, MS
  • NPI 1962406959
  NPD (past)
• Pamela Ann Bariola, FNP-BC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1598800237
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174528616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "HOLLANDALE",
            "state": "MS",
            "postal_code": "387480247",
            "telephone_number": "662-827-2214",
            "fax_number": "662-827-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 HWY 61 SOUTH",
            "city": "HOLLANDALE",
            "state": "MS",
            "postal_code": "38748",
            "telephone_number": "662-827-2214",
            "fax_number": "662-827-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLANDALE PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "LELA",
        "authorized_official_title_or_position": "MANAGING ADMINISTRATOR",
        "authorized_official_telephone_number": "662-827-7568",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914125",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blythe Anne Hamburg, P-LPC
• Senthan Harris
• Thomas Hassett, PHARMACISTS
• Hollandale Family Care
• Hollandale Family Care, P.C.
• Hollandale School District
• Home Management Home Maker Services
• Patricia Ann Hunter
• In His Presence Adult Daycare Inc.
• Loving Hands in-Home Nursing

• Health Service Clinic/Center in Hollandale, MS
• Providers in Hollandale, MS by specialty
• Health Service Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.