DELTA HEALTH CENTER, INC (NPI# 1285951970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285951970 |
| Entity Type | Organization |
| Organization Name | DELTA HEALTH CENTER, INC |
| Practice Address |
548 Rosemary Road Cleveland MS 38732-2075 |
| Mailing Address |
702 Martin Luther King Road Post Office Box 900 Mound Bayou MS 38762-0900 |
| Practice Telephone | 6628437299 |
| Practice Fax Number | 6627418893 |
| Mailing Telephone | 6627418880 |
| Mailing Fax Number | 6627418882 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2012-01-04 |
| Authorized Official Name | MR. JOHN FAIRMAN (CEO) |
| Authorized Official Telephone | 6627418880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
| 1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
| 1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
| 1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
| 1881240752 | Delta Health Center, Inc | Clinic/Center | 404 Jefferson St, Indianola, MS 38751-3265 | 2019-08-15 |
| 1477890911 | Delta Health Center, Inc | Clinic/Center | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2013-01-03 |
| 1033255245 | Delta Health Center, Inc | Home Health | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2007-01-29 |
| 1194800656 | Delta Health Center, Inc | Clinic/Center | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2006-10-25 |
| Street Address |
548 ROSEMARY ROAD |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003900655 | Bethany Medical Clinic | Family Medicine | 548 Rosemary Road, Suite A, Cleveland, MS 38732-0358 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1891287439 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 10505 Saint Clair Ave Ste 101, Cleveland, OH 44108-1973 | 2018-05-30 |
| 1306268677 | Neighborhood Health Care Incorporated | Clinic/Center | 14037 Puritas Ave, Suite A and D, Cleveland, OH 44135-2841 | 2014-01-06 |
| 1114275310 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 15320 Euclid Ave, Cleveland, OH 44112-2806 | 2012-08-17 |
| 1386905644 | Care Alliance | Clinic/Center | 1701 Payne Ave, Cleveland, OH 44114-2909 | 2012-06-04 |
| 1447511787 | Care Alliance | Clinic/Center | 5005 Euclid Ave, Cleveland, OH 44103-3745 | 2012-06-04 |
| 1386905628 | Care Alliance | Clinic/Center | 5310 Carnegie Ave, Cleveland, OH 44103-4360 | 2012-06-04 |
| 1730440074 | Care Alliance | Clinic/Center | 2100 Lakeside Ave E, Cleveland, OH 44114-1126 | 2012-06-04 |
| 1780942656 | Care Alliance | Clinic/Center | 4241 Lorain Ave, Cleveland, OH 44113-3720 | 2012-04-30 |
| 1831457712 | Care Alliance | Clinic/Center | 2227 Payne Ave, Cleveland, OH 44114-4424 | 2012-04-27 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.