DELTA HEALTH CENTER, INC. (NPI# 1316314396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316314396 |
| Entity Type | Organization |
| Organization Name | DELTA HEALTH CENTER, INC. |
| Practice Address |
100 East Washington Street Hollandale MS 38748 |
| Practice Telephone | 6627418800 |
| Practice Fax Number | 6627412700 |
| Mailing Telephone | 6627418800 |
| Mailing Fax Number | 6627412700 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2016-10-12 |
| Authorized Official Name | MR. JOHN A. FAIRMAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6627418880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MS | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
| 1336517606 | Delta Health Center, Inc. | Clinic/Center | 20400 Highway 61, Rolling Fork, MS 39159 | 2015-09-03 |
| 1629495452 | Delta Health Center, Inc. | Clinic/Center | 102 S Martin Luther King Jr Dr, Indianola, MS 38751-2366 | 2014-03-18 |
| 1417149766 | Delta Health Center, Inc. | Clinic/Center | 110 West Washington Street, Moorhead, MS 38761-6627 | 2007-08-10 |
| 1508057076 | Delta Health Center, Inc. | Clinic/Center | 1414 Hospital St, Greenville, MS 38703-3217 | 2007-08-08 |
| 1689041063 | Delta Health Center, Inc. | Clinic/Center | 115 Court Street, Mayersville, MS 39113 | 2015-09-01 |
| 1215358783 | Delta Health Center, Inc. | Clinic/Center | 2363 Highway 1 S, Greenville, MS 38701-8337 | 2013-12-30 |
| 1255545570 | Delta Health Center, Inc. | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38762-0900 | 2007-05-09 |
| Street Address |
100 EAST WASHINGTON STREET |
| City | HOLLANDALE |
| State | MS |
| Zip Code | 38748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306239108 | Janice Suzanne Cockrell | Nurse Practitioner | 100 East Washington Street, Hollandale, MS 38748 | 2015-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023743 | Patricia Ann Hunter | Technician | 808 Thomas Street, Hollandale, MS 38748 | 2019-09-20 |
| 1023304110 | Therapy Services Unlimited LLC | Physical Therapist | 117a East Ave, Hollandale, MS 38748 | 2011-06-27 |
| 1992922769 | Community Health Needs, Inc. | Homemaker | 204 East Avenue South, Hollandale, MS 38748 | 2007-04-20 |
| 1013134022 | Serving Communities, LLC | Homemaker | 204 E Ave South, Hollandale, MS 38748 | 2007-04-19 |
| 1336263805 | Thomas Hassett | Pharmacist | 100 West Washington Street, Hollandale, MS 38748 | 2007-03-19 |
| 1245290451 | Hollandale Family Care, P.C. | Clinic/Center | 1257 Highway 61 South, Hollandale, MS 38748 | 2006-03-23 |
| 1174528616 | Hollandale Primary Care, Inc. | Clinic/Center | 1257 Hwy 61 South, Hollandale, MS 38748 | 2005-06-20 |
| 1598776924 | Kelly Drew Alexander Jr. | Dentist | 104 E Washington St, Hollandale, MS 38748 | 2006-08-10 |
| 1558455907 | City Drug Store,inc | Pharmacist | 100 W. Washington St, Hollandale, MS 38748-0426 | 2006-10-02 |
| 1578777496 | Hollandale School District | Registered Nurse | 502 W. Washinton Ave., Hollandale, MS 38748-0502 | 2007-05-09 |
| Find all providers in zip 38748 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193722 | Coastal Family Health Center, Inc | Clinic/Center | 12424 Highway 57, Vancleave, MS 39565-8608 | 2020-10-29 |
| 1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
| 1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
| 1033755343 | Access Family Health Services, Inc. | Clinic/Center | 179 Mullen Ave, Nettleton, MS 38858-6033 | 2019-11-21 |
| 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 |
| 1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 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 |
| Find all providers with the same taxonomy | ||||
| City | HOLLANDALE |
| Zip Code | 38748 |
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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.