DELTA HEALTH CENTER, INC. (NPI# 1508057076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508057076 |
Entity Type | Organization |
Organization Name | DELTA HEALTH CENTER, INC. |
Practice Address |
1414 Hospital St Greenville MS 38703-3217 |
Mailing Address |
702 Martin Luther King Road Post Office Box 900 Mound Bayou MS 38762-0900 |
Practice Telephone | 6623353991 |
Practice Fax Number | 6623321736 |
Mailing Telephone | 6623353991 |
Mailing Fax Number | 6623321736 |
Enumeration Date | 2007-08-08 |
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 | 09014251 | 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 |
1417149766 | Delta Health Center, Inc. | Clinic/Center | 110 West Washington Street, Moorhead, MS 38761-6627 | 2007-08-10 |
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 |
1414 HOSPITAL ST |
City | GREENVILLE |
State | MS |
Zip Code | 38703-3217 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457631053 | Felicia Norris White | Nurse Practitioner | 1414 Hospital St, Greenville, MS 38701 | 2011-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
Find all providers in zip 38703 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1124262431 | Greene County Health Care, Inc | Clinic/Center | 261 Belvoir Highway, Greenville, NC 27834-8193 | 2009-04-30 |
1942491428 | Women & Pediatric Clinic | Clinic/Center | 1217 E Railroad Ave, Greenville, MS 38703-3256 | 2007-08-08 |
1205949757 | New Horizon Family Health Services, Inc. | Clinic/Center | 130 Mallard St, Greenville, SC 29601-4046 | 2006-08-17 |
1306848650 | Community Health Centers of Western Kentucky, Inc. | Clinic/Center | 480 Hopkinsville St, Greenville, KY 42345-1124 | 2005-06-01 |
1376183855 | New Horizon Family Health Services, Inc. | Clinic/Center | 1133 Pendleton St, Greenville, SC 29601-2317 | 2020-01-13 |
1912543836 | New Horizon Family Health Services, Inc. | Clinic/Center | 130 Mallard St, Greenville, SC 29601-4046 | 2019-11-26 |
1013361583 | Family Health Services of Darke County, Inc. | Clinic/Center | 1101 Jackson St, Greenville, OH 45331-1183 | 2016-04-20 |
1306205810 | Family Health Services of Darke County, Inc. | Clinic/Center | 5735 Meeker Rd, Greenville, OH 45331-1180 | 2016-02-12 |
1922486505 | Community Health Service Agency Inc | Clinic/Center | 4500 Wesley St, Greenville, TX 75401-5644 | 2015-05-14 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 38703 |
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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.