| Delta Health Center | |
|
702 Martin Luther King St Mound Bayou MS 38762-9314 | |
| (662) 741-2151 | |
| (662) 741-2268 |
| Full Name | Delta Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 702 Martin Luther King St, 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 St Mound Bayou MS 38762-9314 Ph: (662) 741-2151 |
| NPI Number | 1487723227 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487723227 | NPI | - | NPPES |
| 01582712 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | R745833 (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 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, 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 |