| Delta Health Center, Inc | |
|
1101 Oak St Inverness MS 38753-8725 | |
| (662) 265-5752 | |
| (662) 265-0027 |
| Full Name | Delta Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1101 Oak St, Inverness, Mississippi |
| Authorized Official Name and Position | Myrtis Small (HR-CREDENTIALING) |
| Authorized Official Contact | 6627418889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Health Center, Inc 702 Martin Luther King St Mound Bayou MS 38762-9314 Ph: (662) 741-8889 | Delta Health Center, Inc 1101 Oak St Inverness MS 38753-8725 Ph: (662) 265-5752 |
| NPI Number | 1063068252 |
|---|---|
| Provider Enumeration Date | 08/13/2019 |
| Last Update Date | 08/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063068252 | NPI | - | NPPES |
| 09013118 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |