| Delta Health Center, Inc | |
|
702 Martin Luther King St Mound Bayou MS 38762-9314 | |
| (662) 741-8882 | |
| (662) 741-8871 |
| Full Name | Delta Health Center, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 702 Martin Luther King St, Mound Bayou, Mississippi |
| Authorized Official Name and Position | Gregory Norwood (PROVIDER) |
| Authorized Official Contact | 6627418871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Health Center, Inc 702 Martin Luther King St Mound Bayou MS 38762-9314 Ph: (662) 741-8882 | Delta Health Center, Inc 702 Martin Luther King St Mound Bayou MS 38762-9314 Ph: (662) 741-8882 |
| NPI Number | 1477890911 |
|---|---|
| Provider Enumeration Date | 01/03/2013 |
| Last Update Date | 01/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477890911 | NPI | - | NPPES |
| 1659378610 | Other | MS | NPI |
| 09013118 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (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 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 |