| Delta Health Center, Inc. | |
|
102 S Martin Luther King Jr Dr Indianola MS 38751-2366 | |
| (662) 741-2151 | |
| (662) 741-2700 |
| Full Name | Delta Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 S Martin Luther King Jr Dr, Indianola, Mississippi |
| Authorized Official Name and Position | John A. Fairman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6627418880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Health Center, Inc. 702 Martin Luther King St Mound Bayou MS 38762-9314 Ph: (662) 741-2151 | Delta Health Center, Inc. 102 S Martin Luther King Jr Dr Indianola MS 38751-2366 Ph: (662) 741-2151 |
| NPI Number | 1629495452 |
|---|---|
| Provider Enumeration Date | 03/18/2014 |
| Last Update Date | 03/18/2014 |
| Medicare PECOS PAC ID | 6608783295 |
|---|---|
| Medicare Enrollment ID | O20140625000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629495452 | NPI | - | NPPES |
| 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 | |
Delta Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 College Ave, Indianola, MS 38751 Phone: 662-884-1260 Fax: 662-741-2700 | |
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 |