| Delta Health Center, Inc. | |
|
110 West Washington Street Moorhead MS 38761-6627 | |
| (662) 246-8028 | |
| (662) 246-5847 |
| Full Name | Delta Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 West Washington Street, Moorhead, Mississippi |
| Authorized Official Name and Position | John Fairman (CEO) |
| Authorized Official Contact | 6627412358 |
| 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 Road Post Office Box 900 Mound Bayou MS 38762-0900 Ph: (662) 741-2358 | Delta Health Center, Inc. 110 West Washington Street Moorhead MS 38761-6627 Ph: (662) 246-8028 |
| NPI Number | 1417149766 |
|---|---|
| Provider Enumeration Date | 08/10/2007 |
| Last Update Date | 11/23/2010 |
| Medicare PECOS PAC ID | 6608783295 |
|---|---|
| Medicare Enrollment ID | O20021011000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417149766 | NPI | - | NPPES |
| 00381841 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Dhc-moorhead Central School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 506 Washington Avenue, Moorhead, MS 38761 Phone: 662-246-5680 Fax: 662-246-5080 | |
South Sunflower County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 West Delta, Moorhead, MS 38761 Phone: 662-246-0099 |