| Delta Health Center, Inc. | |
|
115 Court Street Mayersville MS 39113 | |
| (662) 741-8880 | |
| Not Available |
| Full Name | Delta Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 Court Street, Mayersville, Mississippi |
| Authorized Official Name and Position | John A. Fairman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6627418880 |
| 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. 115 Court Street Mayersville MS 39113 Ph: (662) 741-8880 |
| NPI Number | 1689041063 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 09/01/2015 |
| Medicare PECOS PAC ID | 6608783295 |
|---|---|
| Medicare Enrollment ID | O20160303002024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689041063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Mercy Delta Express Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Court Street, Mayersville, MS 39113 Phone: 601-832-2716 |