| Delta Health Center, Inc | |
|
410 L F Packer Dr Ruleville MS 38771-3604 | |
| (662) 756-2622 | |
| (662) 741-2700 |
| Full Name | Delta Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 410 L F Packer Dr, Ruleville, Mississippi |
| Authorized Official Name and Position | Myrtis Small (HR/CREDENTIALING) |
| 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) 741-8889 | Delta Health Center, Inc 410 L F Packer Dr Ruleville MS 38771-3604 Ph: (662) 756-2622 |
| NPI Number | 1750937108 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Medicare PECOS PAC ID | 6608783295 |
|---|---|
| Medicare Enrollment ID | O20191031002759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750937108 | NPI | - | NPPES |
| 09013118 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Sunflower Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 Fax: 662-756-4023 |