Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glendale Healthcare, LLC

Organization Primary Care Clinic/Center · NPI 1063188167

Glendale Healthcare, LLC is a Primary Care Clinic/Center in Hattiesburg, Mississippi. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2503 Glendale Ave
Hattiesburg, MS 39401-1073
Phone: (601) 582-5805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1063188167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Akwasi Amponsah — Ceo · (314) 435-6386
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing address2503 Glendale Ave, Hattiesburg, MS 39401-1073

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