DELTA HEALTH CENTER, INC. (NPI# 1255545570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255545570 |
| Entity Type | Organization |
| Organization Name | DELTA HEALTH CENTER, INC. |
| Practice Address |
702 Martin Luther King Road Mound Bayou MS 38762-0900 |
| Mailing Address |
702 Martin Luther King Road Post Office Box 900 Mound Bayou MS 38762-0900 |
| Practice Telephone | 6627412151 |
| Mailing Telephone | 6627412151 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MICHELLE PORTER (REVENUE COORDINATOR) |
| Authorized Official Telephone | 6627412151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
| 1336517606 | Delta Health Center, Inc. | Clinic/Center | 20400 Highway 61, Rolling Fork, MS 39159 | 2015-09-03 |
| 1629495452 | Delta Health Center, Inc. | Clinic/Center | 102 S Martin Luther King Jr Dr, Indianola, MS 38751-2366 | 2014-03-18 |
| 1417149766 | Delta Health Center, Inc. | Clinic/Center | 110 West Washington Street, Moorhead, MS 38761-6627 | 2007-08-10 |
| 1508057076 | Delta Health Center, Inc. | Clinic/Center | 1414 Hospital St, Greenville, MS 38703-3217 | 2007-08-08 |
| 1689041063 | Delta Health Center, Inc. | Clinic/Center | 115 Court Street, Mayersville, MS 39113 | 2015-09-01 |
| 1316314396 | Delta Health Center, Inc. | Clinic/Center | 100 East Washington Street, Hollandale, MS 38748 | 2015-08-26 |
| 1215358783 | Delta Health Center, Inc. | Clinic/Center | 2363 Highway 1 S, Greenville, MS 38701-8337 | 2013-12-30 |
| Street Address |
702 MARTIN LUTHER KING ROAD |
| City | MOUND BAYOU |
| State | MS |
| Zip Code | 38762-0900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378610 | Delta Health Center Inc | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38762-9314 | 2005-07-06 |
| 1871652024 | Delta Health Center | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38116 | 2006-12-06 |
| 1144398710 | Delta Health Center | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38762 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891137873 | Beverly C Johnson | Hospice Care, Community Based | 116 S Edward Avenue, Mound Bayou, MS 38762 | 2013-07-19 |
| 1629310487 | Community Adult Day Care | Clinic/Center | 114 S Edwards Avenue, Mound Bayou, MS 38762 | 2013-03-20 |
| 1235482233 | Melvern Scott Jr. | Social Worker | 109 Rayner Rd, Mound Bayou, MS 38762 | 2012-10-16 |
| 1063692770 | Allison Hailman Doyle | Family Medicine | 702 Mlk St, Mound Bayou, MS 38762 | 2007-11-09 |
| 1578785820 | Mound Bayou Public Schools | Registered Nurse | 202 Mlk, Mound Bayou, MS 38762 | 2007-05-03 |
| 1700923836 | Delta Health Center | Clinic/Center | 702 Martin Luther King Rd, Mound Bayou, MS 38762 | 2007-01-30 |
| 1649363656 | Ki M Chang | Internal Medicine | 7165 Getwell Road, Bldg F, Southaven, MS 38762 | 2006-10-02 |
| 1689033706 | North Bolivar Consolidated School District | Local Education Agency (LEA) | 201 Green St, Mound Bayou, MS 38762 | 2016-02-17 |
| 1104848787 | Delta Health Center | Clinic/Center | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2006-07-24 |
| 1053921320 | Sarah Shepherd | Counselor | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2020-08-03 |
| Find all providers in zip 38762 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUND BAYOU |
| Zip Code | 38762 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.