DELTA HEALTH CENTER, INC. (NPI# 1336517606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336517606 |
| Entity Type | Organization |
| Organization Name | DELTA HEALTH CENTER, INC. |
| Practice Address |
20400 Highway 61 Rolling Fork MS 39159 |
| Mailing Address |
702 Martin Luther King St Mound Bayou MS 38762-9314 |
| Practice Telephone | 6627412151 |
| Practice Fax Number | 6627412700 |
| Mailing Telephone | 6627418800 |
| Mailing Fax Number | 6627418889 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2016-01-14 |
| 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 |
|---|---|---|---|---|---|
| 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 |
| 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 |
| 1316314396 | Delta Health Center, Inc. | Clinic/Center | 100 East Washington Street, Hollandale, MS 38748 | 2015-08-26 |
| 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 |
20400 HIGHWAY 61 |
| City | ROLLING FORK |
| State | MS |
| Zip Code | 39159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669513883 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 47 South Fourth Street, Rolling Fork, MS 39159 | 2007-02-09 |
| 1922056050 | Sharkey-issaquena Community Hospital | Skilled Nursing Facility | 431 West Race Street, Rolling Fork, MS 39159 | 2006-05-04 |
| 1326445057 | Mississippi Christian Family Services Inc. | Day Training, Developmentally Disabled Services | 314 Pine Street, Rolling Fork, MS 39159 | 2014-11-24 |
| 1215305909 | Mississippi Christian Family Services Inc | Day Training, Developmentally Disabled Services | 117 Delta St, Rolling Fork, MS 39159-2266 | 2015-09-11 |
| 1578973947 | Mississippi State Department of Health | Public Health or Welfare | 297 W Race St, Rolling Fork, MS 39159-2621 | 2014-05-06 |
| 1942327515 | Delta Community Mental Health Services | Community/Behavioral Health | 317 W Race St, Rolling Fork, MS 39159-2623 | 2007-03-26 |
| 1063690824 | Johnny Brown | Registered Nurse | 317 W Race St, Rolling Fork, MS 39159-2623 | 2008-02-04 |
| 1154848802 | Casey Cummins Perry | Pharmacist | 20917 Highway 61, Rolling Fork, MS 39159-5027 | 2017-08-24 |
| 1043242084 | Freds Stores of Tennessee Inc | Pharmacy | 20917 Highway 61 N, Rolling Fork, MS 39159-5027 | 2006-07-07 |
| 1508413592 | Rolling Fork Drug Co | Pharmacy | 20917 Highway 61, Rolling Fork, MS 39159-5027 | 2019-08-23 |
| Find all providers in zip 39159 | ||||
| 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 | ROLLING FORK |
| Zip Code | 39159 |
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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.