Delta Health Center, Inc.

LBN: Delta Health Center, Inc.
Delta Health Center, Inc. is an health care organization with primary practice located at 598 Ingram Street , Moorhead MS 38761-6627. 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) 246-8028, or through Fairman, John via phone (662) 741-2358.

Contact Information

Primary practice address
598 Ingram Street Moorhead MS 38761-6627
Phone: (662) 246-8028
Fax: (662) 246-5847
Website:
Map and Directions
Authorized official contact:
Name: Fairman, John
Phone: (662) 741-2358

Health care specialties

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

Profile Details

NPI number 1417149766
LBN Legal business name Delta Health Center, Inc.
DBA Doing business as
Authorized official Fairman, John
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2007
Last updated Jun 21st, 2024 - about 5 months 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 1417149766 NPPES
Mississippi MEDICAID 00381841

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