DELTA HEALTH CENTER, INC. (NPI# 1417149766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417149766 |
| Entity Type | Organization |
| Organization Name | DELTA HEALTH CENTER, INC. |
| Practice Address |
110 West Washington Street Moorhead MS 38761-6627 |
| Mailing Address |
702 Martin Luther King Road Post Office Box 900 Mound Bayou MS 38762-0900 |
| Practice Telephone | 6622468028 |
| Practice Fax Number | 6622465847 |
| Mailing Telephone | 6627412358 |
| Mailing Fax Number | 6627412700 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2010-11-23 |
| Authorized Official Name | MR. JOHN FAIRMAN (CEO) |
| Authorized Official Telephone | 6627412358 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00381841 | 05 |
| 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 |
| 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 |
| 1255545570 | Delta Health Center, Inc. | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38762-0900 | 2007-05-09 |
| Street Address |
110 WEST WASHINGTON STREET |
| City | MOORHEAD |
| State | MS |
| Zip Code | 38761-6627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759099 | Augusta Forest Swan | Technician | 1401 Pine Street, Moorhead, MS 38761 | 2019-09-19 |
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649666 | Community Health Service Inc. | Clinic/Center | 810 4th Ave S Ste 101, Moorhead, MN 56560-2800 | 2020-11-03 |
| 1932716669 | C.o.m.p.e.t.e Physical Therapy & Wellness LLC | Clinic/Center | 1517 Johnson Dr, Moorhead, MN 56560-7441 | 2020-09-27 |
| 1174135271 | Jihan Brifki | Home Health Aide | 3330 18th St S, Moorhead, MN 56560-5222 | 2020-08-19 |
| 1538781620 | Humane Nursing Services Inc | Home Health | 2710 14th St S, Moorhead, MN 56560-4629 | 2020-05-11 |
| 1437781515 | Autonomy Counseling, Pllc | Clinic/Center | 510 Center Ave Ste 2, Moorhead, MN 56560-1922 | 2020-02-06 |
| 1649817883 | Melissas Group | Chiropractor | 3203 22nd St S, Moorhead, MN 56560-5307 | 2019-12-06 |
| 1932759099 | Augusta Forest Swan | Technician | 1401 Pine Street, Moorhead, MS 38761 | 2019-09-19 |
| 1730736414 | Central Care LLC | Case Management | 1132 28th Ave S Ste 6, Moorhead, MN 56560-4420 | 2019-08-19 |
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1881240224 | New Serenity L.L.C. | Home Health | 810 4th Ave S Ste 138, Moorhead, MN 56560-2878 | 2019-08-12 |
| Find all providers in MOORHEAD | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649666 | Community Health Service Inc. | Clinic/Center | 810 4th Ave S Ste 101, Moorhead, MN 56560-2800 | 2020-11-03 |
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1982162434 | Family Health Care Center | Clinic/Center | 1104 7th Ave S # 92, Moorhead, MN 56563-0001 | 2019-03-04 |
| 1043389117 | Family Health Care Center | Clinic/Center | 901 8th St. S, Concordia Health Services, Moorhead, MN 56560 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193722 | Coastal Family Health Center, Inc | Clinic/Center | 12424 Highway 57, Vancleave, MS 39565-8608 | 2020-10-29 |
| 1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
| 1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
| 1033755343 | Access Family Health Services, Inc. | Clinic/Center | 179 Mullen Ave, Nettleton, MS 38858-6033 | 2019-11-21 |
| 1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
| 1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
| 1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
| 1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
| 1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
| 1558929018 | Access Family Health Services, Inc. | Clinic/Center | 320 School Loop Dr, Tremont, MS 38876-8575 | 2019-05-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DELTA HEALTH CENTER, INC..
| 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.