| Delta Health Center, Inc. | |
|
302 College Ave Indianola MS 38751-2112 | |
| (662) 884-1260 | |
| (662) 741-2700 |
| Full Name | Delta Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 302 College Ave, Indianola, Mississippi |
| Authorized Official Name and Position | Myrtis Small (HR/CREDENTIALING) |
| Authorized Official Contact | 6627418889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Health Center, Inc. Po Box 900 Mound Bayou MS 38762-0900 Ph: (662) 884-1260 | Delta Health Center, Inc. 302 College Ave Indianola MS 38751-2112 Ph: (662) 884-1260 |
| NPI Number | 1215583356 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 08/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215583356 | NPI | - | NPPES |
| 09013118 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Delta Ob-gyn Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E Baker St, Suite A, Indianola, MS 38751 Phone: 662-887-7081 Fax: 662-887-3920 | |
Indianola Family Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 E Baker St, Indianola, MS 38751 Phone: 662-887-2212 Fax: 662-887-1279 | |
South Sunflower Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 E Baker St, Indianola, MS 38751 Phone: 662-887-2212 Fax: 662-887-1279 | |
Delta Surgical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E Baker St, Indianola, MS 38751 Phone: 662-887-7339 Fax: 662-887-3920 | |
Indianola Wellness Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Main St, Indianola, MS 38751 Phone: 662-303-3743 | |
Tricounty Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Sunflower Avenue Ext, Suite 14, Indianola, MS 38751 Phone: 601-720-7605 Fax: 866-495-3240 |