| Delta Health Center | |
|
702 Martin Luther King Road Mound Bayou MS 38762 | |
| (662) 741-2151 | |
| Not Available |
| Full Name | Delta Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 702 Martin Luther King Road, Mound Bayou, Mississippi |
| Authorized Official Name and Position | Seymour Mitchell (CEO) |
| Authorized Official Contact | 6627412151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Health Center 702 Martin Luther King St Mound Bayou MS 38762-9314 Ph: (662) 741-2151 | Delta Health Center 702 Martin Luther King Road Mound Bayou MS 38762 Ph: (662) 741-2151 |
| NPI Number | 1144398710 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144398710 | NPI | - | NPPES |
| 06388552 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 18208 (Mississippi) | Primary |
Delta Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Martin Luther King St, Mound Bayou, MS 38762 Phone: 662-741-2151 Fax: 662-741-2339 | |
Delta Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Martin Luther King St, Mound Bayou, MS 38762 Phone: 662-741-2151 Fax: 662-741-2668 | |
Delta Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Martin Luther King Road, Mound Bayou, MS 38762 Phone: 662-741-2151 | |
Delta Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Martin Luther King St, Mound Bayou, MS 38762 Phone: 662-741-2151 Fax: 662-741-2339 | |
Delta Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Martin Luther King St, Mound Bayou, MS 38762 Phone: 662-741-8882 Fax: 662-741-8871 | |
Delta Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Martin Luther King St, Mound Bayou, MS 38762 Phone: 662-741-2151 Fax: 662-741-2268 |