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GLENDALE HEALTHCARE, LLC
NPI 1063188167
Clinic/Center - Primary Care in Hattiesburg, MS

Active since August 18, 2021
2503 GLENDALE AVE, HATTIESBURG, MS 39401(601) 582-5805 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glendale Healthcare, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDALE HEALTHCARE, LLC (NPI 1063188167) is a healthcare organization registered as a primary care in Hattiesburg, Mississippi and active in the NPI registry since August 2021. The organization lists Akwasi Wayne Amponsah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063188167
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGLENDALE HEALTHCARE, LLC
Location Address2503 GLENDALE AVEHattiesburg, MS 39401-1073
Mailing Address2503 Glendale AveHattiesburg, MS 39401-1073 · (601) 582-5805
Phone(601) 582-5805
Organization SubpartNo
Authorized OfficialAkwasi Wayne AmponsahCeo · (314) 435-6386
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1063188167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2503 GLENDALE AVE, Hattiesburg, MS 39401
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARKWAY MEDICAL GROUP INC
Internal Medicine
2503 GLENDALE AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-5805
PARKWAY SENIOR CARE GROUP INC
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
2503 GLENDALE AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-5805
NEIGHBORHOOD HEALTHCARE PROVIDERS
Internal Medicine
2503 GLENDALE AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-5805
AKWASI AMPONSAH D.O.
Chiropractor (Independent Medical Examiner)
2503 GLENDALE AVE
HATTIESBURG, MS 39401
Forrest County (314) 435-6386
NEIGHBORHOOD HEALTHCARE PROVIDERS
Internal Medicine
2503 GLENDALE AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-5805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glendale Healthcare, LLC's NPI number?

The NPI number for Glendale Healthcare, LLC is 1063188167. It was assigned to this organization in the NPPES registry on August 18, 2021.

Where is Glendale Healthcare, LLC located?

Glendale Healthcare, LLC is located at 2503 Glendale Ave, Hattiesburg, MS 39401. The listed phone number is (601) 582-5805.

What is Glendale Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Glendale Healthcare, LLC was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.