Delta Health Center, Inc. | |
20400 Highway 61 Rolling Fork MS 39159 | |
(662) 741-2151 | |
(662) 741-2700 |
Full Name | Delta Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 20400 Highway 61, Rolling Fork, 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 |
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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. 20400 Highway 61 Rolling Fork MS 39159 Ph: (662) 741-2151 |
NPI Number | 1336517606 |
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Provider Enumeration Date | 09/03/2015 |
Last Update Date | 01/14/2016 |
Medicare PECOS PAC ID | 6608783295 |
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Medicare Enrollment ID | O20160201002000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336517606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Sharkey Issaquena Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 283 W Race St, Rolling Fork, MS 39159 Phone: 662-873-4395 | |
Rolling Fork Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 S Fourth St, Rolling Fork, MS 39159 Phone: 662-335-4105 Fax: 662-378-2879 | |
Jackson Rural Health Clinic P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-4361 Fax: 662-873-2921 | |
Andrew George Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-873-0742 | |
South Delta Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-873-0742 | |
Andrew George Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-873-0742 |