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Contact Information

DELTA HEALTH CENTER
702 MARTIN LUTHER KING ROAD
MOUND BAYOU, MS38762
 Phone: 662-741-2151
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for DELTA HEALTH CENTER

NPI # 1144398710
LBN Legal business name DELTA HEALTH CENTER
Authorized official SEYMOUR MITCHELL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MS License # 18208
MS Medicaid 06388552
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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