MEDICARE: HOLLANDALE PRIMARY CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174528616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLANDALE PRIMARY CARE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 247
Second Line	:
City	:	HOLLANDALE
State	:	MS
Zip	:	38748-0247
Country	:	US
Telephone Number	:	662-827-2214
Fax Number	:	662-827-5019

Provider Business Practice Location Address
First Line	:	1257 HWY 61 SOUTH
Second Line	:
City	:	HOLLANDALE
State	:	MS
Zip	:	38748
Country	:	US
Telephone Number	:	662-827-2214
Fax Number	:	662-827-5019

Authorized Official
Title or Position	:	MANAGING ADMINISTRATOR
Name	:	MRS. LELA PERKINS
Credential	:
Telephone Number	:	662-827-7568

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1245290451 — HOLLANDALE FAMILY CARE, P.C.
Practice Location Address:

1257 HIGHWAY 61 SOUTH
HOLLANDALE, MS
38748

Practice Phone: 662-827-2214
Practice Fax: 662-827-5019

1598776924 — DR. KELLY DREW ALEXANDER JR. DDS
Practice Location Address:

104 E WASHINGTON ST
HOLLANDALE, MS
38748

Practice Phone: 662-827-2922
Practice Fax: 662-827-2922

1558455907 — CITY DRUG STORE,INC
Practice Location Address:

100 W. WASHINGTON ST
HOLLANDALE, MS
38748-0426

Practice Phone: 662-827-5561
Practice Fax:

1538246632 — FELECIA PRESTON-WILLIAMS CFNP
Practice Location Address:

112 W WASHINGTON ST
HOLLANDALE, MS
38748

Practice Phone: 662-807-5007
Practice Fax: 662-807-5019

1336263805 — THOMAS HASSETT PHARMACISTS
Practice Location Address:

100 WEST WASHINGTON STREET
HOLLANDALE, MS
38748

Practice Phone: 662-827-5011
Practice Fax:

1013134022 — SERVING COMMUNITIES, LLC
Practice Location Address:

204 E AVE SOUTH
HOLLANDALE, MS
38748

Practice Phone: 662-827-2765
Practice Fax: 662-827-5001

Directions to “HOLLANDALE PRIMARY CARE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.