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MMO OF HATTIESBURG, LLC
NPI 1629022017
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hattiesburg, MS

Active since May 20, 2006
990 HARDY ST, SUITE 4, HATTIESBURG, MS 39401(601) 602-0194(601) 602-0197 Get Directions Write a Review

NPPES record last updated: July 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mmo Of Hattiesburg, Llc NPPES

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

MMO OF HATTIESBURG, LLC (NPI 1629022017), doing business as Delta Medical Systems, Llc, is a healthcare organization registered as a mental health (including community mental health center) in Hattiesburg, Mississippi and active in the NPI registry since May 2006. The organization lists Robert L. Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629022017
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMMO OF HATTIESBURG, LLC
Location Address990 HARDY ST, SUITE 4Hattiesburg, MS 39401-4161
Mailing Address728 North BlvdBaton Rouge, LA 70802-5724 · (225) 293-6774 · Fax (225) 291-9229
Phone(601) 602-0194
Fax(601) 602-0197
Organization SubpartNo
Authorized OfficialRobert L. MillerCeo · (225) 293-6774
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 2, 2010
✔ NPI 1629022017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
990 HARDY ST, Hattiesburg, MS 39401
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Other Names 1

Former Legal Business NameDelta Medical Systems, Llc

Other Identifiers 2

Medicare PINC03576
Medicare PIN25-4619

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 Mmo Of Hattiesburg, LLC's NPI number?

The NPI number for Mmo Of Hattiesburg, LLC is 1629022017. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider was formerly known as Delta Medical Systems, LLC.

Where is Mmo Of Hattiesburg, LLC located?

Mmo Of Hattiesburg, LLC is located at 990 Hardy St Suite 4, Hattiesburg, MS 39401. The listed phone number is (601) 602-0194.

What is Mmo Of Hattiesburg, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Mmo Of Hattiesburg, LLC was last updated on July 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.