Provider Demographics
NPI:1912647785
Name:CALTRELL HEALTH CONSULTING LLC
Entity Type:Organization
Organization Name:CALTRELL HEALTH CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:JATRELL
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-596-7153
Mailing Address - Street 1:51 MCSWAIN COMMUNITY RD
Mailing Address - Street 2:
Mailing Address - City:RICHTON
Mailing Address - State:MS
Mailing Address - Zip Code:39476-9541
Mailing Address - Country:US
Mailing Address - Phone:682-297-8978
Mailing Address - Fax:682-292-2158
Practice Address - Street 1:51 MCSWAIN COMMUNITY RD
Practice Address - Street 2:
Practice Address - City:RICHTON
Practice Address - State:MS
Practice Address - Zip Code:39476-9541
Practice Address - Country:US
Practice Address - Phone:682-297-8978
Practice Address - Fax:682-292-2158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No253Z00000XAgenciesIn Home Supportive Care