| Delta Medical Foundation | |
|
1024 Martin Luther King Dr Marks MS 38646-1832 | |
| (662) 326-3502 | |
| (662) 326-2555 |
| Full Name | Delta Medical Foundation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1024 Martin Luther King Dr, Marks, Mississippi |
| Authorized Official Name and Position | Lonnie Moore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6623263500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Medical Foundation Po Box 289 Marks MS 38646-0289 Ph: (662) 326-3502 | Delta Medical Foundation 1024 Martin Luther King Dr Marks MS 38646-1832 Ph: (662) 326-3502 |
| NPI Number | 1720585490 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 2163777046 |
|---|---|
| Medicare Enrollment ID | O20180720000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720585490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Warrington Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1022 Martin Luther King Drive, Pob 289, Marks, MS 38646 Phone: 662-326-3500 | |
Quitman County Hospital, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1024 Martin Luther King Dr, Marks, MS 38646 Phone: 662-326-3502 Fax: 662-326-7077 | |
Clarksdale Hma Physician Management, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Poplar St, Marks, MS 38646 Phone: 662-326-9232 Fax: 662-326-8851 | |
Aaron E. Henry Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hwy 3 South, Marks, MS 38646 Phone: 662-326-4850 Fax: 662-326-7339 | |
Quitman County Hospital, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1024 Martin Luther King Dr, Marks, MS 38646 Phone: 662-326-3502 Fax: 662-326-2555 |