DELTA HEALTH CENTER, INC (NPI# 1477890911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477890911 |
| Entity Type | Organization |
| Organization Name | DELTA HEALTH CENTER, INC |
| Other Organization Name | DELTA HEALTH CENTER MSCAN HOSPITAL |
| Practice Address |
702 Martin Luther King St Mound Bayou MS 38762-9314 |
| Practice Telephone | 6627418882 |
| Practice Fax Number | 6627418871 |
| Mailing Telephone | 6627418882 |
| Mailing Fax Number | 6627418871 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |
| Authorized Official Name | GREGORY NORWOOD (PROVIDER) |
| Authorized Official Telephone | 6627418871 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09013118 | 05 | |
| MS | NPI | 1659378610 | 01 |
| Other Name | Type Code |
|---|---|
| DELTA HEALTH CENTER MSCAN HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 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 |
| 1881240752 | Delta Health Center, Inc | Clinic/Center | 404 Jefferson St, Indianola, MS 38751-3265 | 2019-08-15 |
| 1285951970 | Delta Health Center, Inc | Clinic/Center | 548 Rosemary Road, Cleveland, MS 38732-2075 | 2010-04-21 |
| 1033255245 | Delta Health Center, Inc | Home Health | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2007-01-29 |
| 1194800656 | Delta Health Center, Inc | Clinic/Center | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2006-10-25 |
| Street Address |
702 MARTIN LUTHER KING ST |
| City | MOUND BAYOU |
| State | MS |
| Zip Code | 38762-9314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1043841067 | Anthony Louis Oliveri | Physical Medicine & Rehabilitation | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2020-01-29 |
| 1295290872 | Laura Grant | Clinical Exercise Physiologist | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2019-02-07 |
| 1730602806 | Simone Shardae Williams Moore | Pediatrics | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2017-07-20 |
| 1467999318 | Kirsten Westerfield | Dietitian, Registered | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2017-01-30 |
| 1477090728 | Meta H Anderson | Nurse Practitioner | 702 Martin Luther King St, Pob 900, Mound Bayou, MS 38762-9314 | 2017-01-25 |
| 1124474648 | Natural Pain Back Institute, LLC | Chiropractor | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2016-05-13 |
| 1285041038 | Ronsheka A Palmer | Nurse Practitioner | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2014-07-14 |
| 1831523620 | Alyssa Lott Simmons | Nurse Practitioner | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2013-08-28 |
| Find all providers in the same location | ||||
| 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 |
| 1144398710 | Delta Health Center | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38762 | 2006-12-01 |
| 1255545570 | Delta Health Center, Inc. | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38762-0900 | 2007-05-09 |
| Find all providers in zip 38762 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194800656 | Delta Health Center, Inc | Clinic/Center | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2006-10-25 |
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| 1669018008 | Maximum Care After Hours Clinic, LLC | Clinic/Center | 212 Highway 61, Shaw, MS 38773-3877 | 2019-11-20 |
| 1598316895 | Florence Health Complex, LLC | Clinic/Center | 130 S Church St, Florence, MS 39073-8478 | 2019-09-27 |
| 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.