Provider Demographics
NPI:1750826327
Name:HINDS STREET BAPTIST CHURCH
Entity Type:Organization
Organization Name:HINDS STREET BAPTIST CHURCH
Other - Org Name:HINDS ST. CHURCH CDC ADULT DAY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLLIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-347-4873
Mailing Address - Street 1:PO BOX 1588
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38702-1588
Mailing Address - Country:US
Mailing Address - Phone:662-332-0804
Mailing Address - Fax:
Practice Address - Street 1:448 N HINDS ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38701-2928
Practice Address - Country:US
Practice Address - Phone:662-332-0804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care