| Delta Health Center, Inc | |
|
801 N Broad St Leland MS 38756-2546 | |
| (662) 741-8800 | |
| (662) 741-2700 |
| Full Name | Delta Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 N Broad St, Leland, Mississippi |
| Authorized Official Name and Position | Myrtis Small (HR/CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 6627418889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Health Center, Inc 702 Martin Luther King St Mound Bayou MS 38762-9314 Ph: (662) 741-8800 | Delta Health Center, Inc 801 N Broad St Leland MS 38756-2546 Ph: (662) 741-8800 |
| NPI Number | 1598357378 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 02/03/2021 |
| Medicare PECOS PAC ID | 6608783295 |
|---|---|
| Medicare Enrollment ID | O20210317001161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598357378 | NPI | - | NPPES |
| 09013118 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Delta Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Baker Blvd, Leland, MS 38756 Phone: 662-686-4121 | |
Delta Health Alliance, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Baker Blvd, Leland, MS 38756 Phone: 662-686-4121 Fax: 662-686-4770 | |
Leland Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Baker Blvd, Leland, MS 38756 Phone: 662-686-4121 Fax: 662-686-4770 | |
Indianola Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Baker Blvd, Leland, MS 38756 Phone: 662-686-4121 Fax: 662-686-4770 | |
Leland Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Baker Blvd, Leland, MS 38756 Phone: 662-686-4121 Fax: 662-686-4770 |