| Delta Health-northwest Regional (rhc) | |
|
785 Ohio Ave Ste 1h Clarksdale MS 38614-6213 | |
| (662) 624-8400 | |
| Not Available |
| Full Name | Delta Health-northwest Regional (rhc) |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 785 Ohio Ave Ste 1h, Clarksdale, Mississippi |
| Authorized Official Name and Position | Iris Stacker (CEO) |
| Authorized Official Contact | 6627252020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Health-northwest Regional (rhc) Po Box 4597 Greenville MS 38704-4597 Ph: () - | Delta Health-northwest Regional (rhc) 785 Ohio Ave Ste 1h Clarksdale MS 38614-6213 Ph: (662) 624-8400 |
| NPI Number | 1831863950 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 11/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831863950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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