Delta Health Center

LBN: Delta Health Center
Delta Health Center is an health care organization with primary practice located at 702 Martin Luther King St , Mound Bayou MS 38762-9314. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Delta Health Center can be contacted via phone (662) 741-2151, or through Mitchell, Seymour via phone (662) 741-2151.

Contact Information

Primary practice address
702 Martin Luther King St Mound Bayou MS 38762-9314
Fax: (662) 741-2339
Website:
Authorized official contact:
Name: Mitchell, Seymour

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 18547 Mississippi

Profile Details

NPI number 1104848787
LBN Legal business name Delta Health Center
DBA Doing business as
Authorized official Mitchell, Seymour
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104848787 NPPES
Mississippi MEDICAID 09271023

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