Delta Health Center, Inc | |
404 Jefferson St Indianola MS 38751-3265 | |
(662) 884-1250 | |
(662) 887-7086 |
Full Name | Delta Health Center, Inc |
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Speciality | Clinic/Center |
Location | 404 Jefferson St, Indianola, Mississippi |
Authorized Official Name and Position | Myrtis Small (HR-CREDENTIALING) |
Authorized Official Contact | 6627418889 |
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 St Mound Bayou MS 38762-9314 Ph: (662) 741-8800 | Delta Health Center, Inc 404 Jefferson St Indianola MS 38751-3265 Ph: (662) 884-1250 |
NPI Number | 1881240752 |
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Provider Enumeration Date | 08/15/2019 |
Last Update Date | 08/15/2019 |
Medicare PECOS PAC ID | 6608783295 |
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Medicare Enrollment ID | O20191016000290 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881240752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Delta Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 College Ave, Indianola, MS 38751 Phone: 662-884-1260 Fax: 662-741-2700 | |
Indianola Wellness Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Main St, Indianola, MS 38751 Phone: 662-303-3743 | |