Provider Demographics
NPI:1861218612
Name:DELTA BILLING, LLC
Entity type:Organization
Organization Name:DELTA BILLING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:JARNEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-366-0133
Mailing Address - Street 1:450 HIGHWAY 879
Mailing Address - Street 2:
Mailing Address - City:OAK GROVE
Mailing Address - State:LA
Mailing Address - Zip Code:71263-7103
Mailing Address - Country:US
Mailing Address - Phone:318-366-0133
Mailing Address - Fax:
Practice Address - Street 1:450 HIGHWAY 879
Practice Address - Street 2:
Practice Address - City:OAK GROVE
Practice Address - State:LA
Practice Address - Zip Code:71263-7103
Practice Address - Country:US
Practice Address - Phone:318-366-0133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)Group - Multi-Specialty
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health