North Delta Medical Supplies, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

216 Issued in TN

Legal business name

NORTH DELTA MEDICAL SUPPLIES, INC

Practice address

3955 Whitebrook Dr Ste 2
Memphis, TN 38118-3745

Phone

(901) 795-5949

Fax

(901) 795-5859

NPI assigned

Feb 16, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Raymond E Vallier

Title

Administrator/Ceo

Phone

(907) 795-5949

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1982901583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 WHITEBROOK DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183727",
            "telephone_number": "901-795-5949",
            "fax_number": "901-795-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 WHITEBROOK DR STE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183745",
            "telephone_number": "901-795-5949",
            "fax_number": "901-795-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DELTA MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "VALLIER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "907-795-5949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Norris
• Mary Katherine Norris, PA
• Janice Norsworthy, PMHNP-BC
• North Delta Medical Services, Inc.
• North Delta Medical Supplies, Inc
• North Internal Medicine, P. C.
• North Memphis Medical Clinic
• North Surgery Center LP
• Northcross Internal Medicine, PLLC
• Phillip R Northcross, M.C.

• All providers in Memphis, TN
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.