Delta Health Center, Inc.

LBN: Delta Health Center, Inc.
Delta Health Center, Inc. is an health care organization with primary practice located at 302 College Ave , Indianola MS 38751-2112. 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, Inc. can be contacted via phone (662) 884-1260, or through Small, Myrtis via phone (662) 741-8889.

Contact Information

Primary practice address
302 College Ave Indianola MS 38751-2112
Phone: (662) 884-1260
Fax: (662) 741-2700
Website:
Map and Directions
Authorized official contact:
Name: Small, Myrtis
Phone: (662) 741-8889

Health care specialties

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

Profile Details

NPI number 1215583356
LBN Legal business name Delta Health Center, Inc.
DBA Doing business as
Authorized official Small, Myrtis
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2019
Last updated Aug 14th, 2019 - about 5 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 1215583356 NPPES
Mississippi MEDICAID 09013118

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