DELTA HEALTH CENTER, INC (NPI# 1750937108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750937108 |
| Entity Type | Organization |
| Organization Name | DELTA HEALTH CENTER, INC |
| Practice Address |
410 L F Packer Dr Ruleville MS 38771-3604 |
| Mailing Address |
702 Martin Luther King St Mound Bayou MS 38762-9314 |
| Practice Telephone | 6627562622 |
| Practice Fax Number | 6627412700 |
| Mailing Telephone | 6627418889 |
| Mailing Fax Number | 6627412700 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | MYRTIS SMALL (HR/CREDENTIALING) |
| Authorized Official Telephone | 6627418889 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09013118 | 05 |
| Other Name | Type Code |
|---|---|
| DHC-RULEVILLE CENTRAL ELEMENTARY SCHOOL | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1285951970 | Delta Health Center, Inc | Clinic/Center | 548 Rosemary Road, Cleveland, MS 38732-2075 | 2010-04-21 |
| 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 |
410 L F PACKER DR |
| City | RULEVILLE |
| State | MS |
| Zip Code | 38771-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881001501 | North Sunflower Medical Center | Pharmacy | 860 N Oak Ave, Ruleville, MS 38771 | 2014-07-15 |
| 1548581184 | North Sunflower Medical Center | Clinic/Center | 101 Floyce St., Ruleville, MS 38771 | 2010-06-17 |
| 1649442484 | Brooks Marlow Rizzo | Nurse Practitioner | 840a N. Oak Ave., Ruleville, MS 38771 | 2008-04-01 |
| 1427189570 | St. Johns Hospice of Mississippi, Inc. | Hospice, Inpatient | 106 Ruby Avenue, Ruleville, MS 38771 | 2007-03-08 |
| 1184275133 | Kathryn Meredith James | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771 | 2019-09-21 |
| 1962444018 | Sandanna Hospice, Inc. | Hospice Care, Community Based | 105 Floyce Street, Ruleville, MS 38771-0365 | 2006-06-12 |
| 1508913609 | North Sunflower Medical Center | General Acute Care Hospital | 840 N Oak Ave, Ruleville, MS 38771-0369 | 2007-01-04 |
| 1376612895 | North Sunflower Medical Center | Durable Medical Equipment & Medical Supplies | 820 N Oak Ave, Ruleville, MS 38771-3215 | 2006-11-07 |
| 1699717249 | Samuel Dean Seeley | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2006-06-11 |
| 1023627122 | Kristen Cassidy Scott | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-07-24 |
| Find all providers in zip 38771 | ||||
| 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 |
| 1558929018 | Access Family Health Services, Inc. | Clinic/Center | 320 School Loop Dr, Tremont, MS 38876-8575 | 2019-05-30 |
| Find all providers with the same taxonomy | ||||
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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.