Delta Health Center, Inc | |
548 Rosemary Road Cleveland MS 38732-2075 | |
(662) 843-7299 | |
(662) 741-8893 |
Full Name | Delta Health Center, Inc |
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Speciality | Clinic/Center |
Location | 548 Rosemary Road, Cleveland, Mississippi |
Authorized Official Name and Position | John Fairman (CEO) |
Authorized Official Contact | 6627418880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Delta Health Center, Inc 702 Martin Luther King Road Post Office Box 900 Mound Bayou MS 38762-0900 Ph: (662) 741-8880 | Delta Health Center, Inc 548 Rosemary Road Cleveland MS 38732-2075 Ph: (662) 843-7299 |
NPI Number | 1285951970 |
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Provider Enumeration Date | 04/21/2010 |
Last Update Date | 01/04/2012 |
Medicare PECOS PAC ID | 6608783295 |
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Medicare Enrollment ID | O20111222000270 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285951970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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