| Delta Health-the Medical Center | |
|
300 S Washington Ave Greenville MS 38701-4719 | |
| (662) 378-3783 | |
| (662) 725-2289 |
| Full Name | Delta Health-the Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 300 S Washington Ave, Greenville, Mississippi |
| Authorized Official Name and Position | Iris Y. Stacker (INTERIM CEO) |
| Authorized Official Contact | 6627252099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Health-the Medical Center 1400 E Union St Greenville MS 38703-3246 Ph: (662) 378-3783 | Delta Health-the Medical Center 300 S Washington Ave Greenville MS 38701-4719 Ph: (662) 378-3783 |
| NPI Number | 1497830806 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497830806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 11-189 (Mississippi) | Primary |
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