| Delta Health Center, Inc. | |
|
20400 Highway 61 Rolling Fork MS 39159 | |
| (662) 741-2151 | |
| (662) 741-2700 |
| Full Name | Delta Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 20400 Highway 61, Rolling Fork, 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) 741-8800 | Delta Health Center, Inc. 20400 Highway 61 Rolling Fork MS 39159 Ph: (662) 741-2151 |
| NPI Number | 1336517606 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 07/08/2025 |
| Medicare PECOS PAC ID | 6608783295 |
|---|---|
| Medicare Enrollment ID | O20160201002000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336517606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Sharkey Issaquena Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 283 W Race St, Rolling Fork, MS 39159 Phone: 662-873-4395 | |
Rolling Fork Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 S Fourth St, Rolling Fork, MS 39159 Phone: 662-335-4105 Fax: 662-378-2879 | |
Jackson Rural Health Clinic P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-4361 Fax: 662-873-2921 | |
Andrew George Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-873-0742 | |
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