Delta Health Center, Inc

LBN: Delta Health Center, Inc
Delta Health Center, Inc is an health care organization with primary practice located at 410 L F Packer Dr , Ruleville MS 38771-3604. 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) 756-2622, or through Small, Myrtis via phone (662) 741-8889.

Contact Information

Primary practice address
410 L F Packer Dr Ruleville MS 38771-3604
Phone: (662) 756-2622
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 1750937108
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 12th, 2019
Last updated Aug 12th, 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 1750937108 NPPES
Mississippi MEDICAID 09013118

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