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HOLLANDALE PRIMARY CARE, INC.
NPI 1174528616
Clinic/Center - Health Service in Hollandale, MS

Active since June 20, 2005
1257 HWY 61 SOUTH, HOLLANDALE, MS 38748(662) 827-2214(662) 827-5019 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hollandale Primary Care, Inc. NPPES

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

HOLLANDALE PRIMARY CARE, INC. (NPI 1174528616) is a healthcare organization registered as a health service in Hollandale, Mississippi and active in the NPI registry since June 2005. The organization lists Lela Perkins, Managing Administrator, as its authorized official.

NPPES Registry Identity

NPI1174528616
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameHOLLANDALE PRIMARY CARE, INC.
Location Address1257 HWY 61 SOUTHHollandale, MS 38748
Mailing AddressPo Box 247Hollandale, MS 38748-0247 · (662) 827-2214 · Fax (662) 827-5019
Phone(662) 827-2214
Fax(662) 827-5019
Organization SubpartNo
Authorized OfficialLela PerkinsManaging Administrator · (662) 827-7568
Enumeration DateJune 20, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174528616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1257 HWY 61 SOUTH, Hollandale, MS 38748
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Other Identifiers 1

Medicaid0914125MS

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 Hollandale Primary Care, Inc.'s NPI number?

The NPI number for Hollandale Primary Care, Inc. is 1174528616. It was assigned to this organization in the NPPES registry on June 20, 2005.

Where is Hollandale Primary Care, Inc. located?

Hollandale Primary Care, Inc. is located at 1257 Hwy 61 South, Hollandale, MS 38748. The listed phone number is (662) 827-2214.

What is Hollandale Primary Care, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Hollandale Primary Care, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.