Delta Health Center Inc

LBN: Delta Health Center Inc
Delta Health Center Inc is an health care organization with primary practice located at 702 Martin Luther King Road , 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 Inc can be contacted via phone (662) 741-2151, or through Fairman, John via phone (662) 741-2151.

Contact Information

Primary practice address
702 Martin Luther King Road Mound Bayou MS 38762-9314
Phone: (662) 741-2151
Fax: (662) 741-2700
Website:
Map and Directions
Authorized official contact:
Name: Fairman, John CEO
Phone: (662) 741-2151

Health care specialties

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

Profile Details

NPI number 1659378610
LBN Legal business name Delta Health Center Inc
DBA Doing business as
Authorized official Fairman, John CEO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2005
Last updated Jul 21st, 2022 - about 2 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 1659378610 NPPES
Mississippi MEDICAID 09013118

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