Delta Health Center, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Itta Bena, Mississippi. The current practice location for Delta Health Center, Inc is 14000 Highway 82 W, Itta Bena, Mississippi. For appointments, you can reach them via phone at
(662) 741-8800. The mailing address for Delta Health Center, Inc is 702 Martin Luther King St, Mound Bayou, Mississippi and phone number is (662) 741-8800.
Delta Health Center, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1235802695. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(662) 741-8800.
Primary Care Clinic Profile
| Full Name | Delta Health Center, Inc |
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| Speciality | Clinic/Center |
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| Location | 14000 Highway 82 W, Itta Bena, Mississippi |
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| Authorized Official Name and Position | Hazel D Whiting (CFO) |
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| Authorized Official Contact | 6627418871 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| 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
14000 Highway 82 W
Itta Bena
MS 38941-1400
Ph: (662) 741-8800 |
NPI Details:
| NPI Number | 1235802695 |
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| Provider Enumeration Date | 07/30/2021 |
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| Last Update Date | 07/30/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6608783295 |
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| Medicare Enrollment ID | O20211115000210 |
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Medical Identifiers
Medical identifiers for Delta Health Center, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235802695 | NPI | - | NPPES |
| 09013118 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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