Delta Health Center in Mound Bayou - Federally Qualified Health Center (fqhc)
Delta Health Center - NPI 1104848787
Delta Health Center is a Federally Qualified Health Center (fqhc) in Mound Bayou, Mississippi. Delta Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Delta Health Center is 1104848787. The last update date is 2020-08-22.
Delta Health Center's current location address is 702 Martin Luther King St, Mound Bayou, Mississippi. You can contact this provider via phone number 6627412151 and fax number 6627412339. The mailing address for Delta Health Center is 702 Martin Luther King St, Mound Bayou, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Delta Health Center |
|---|---|
| Address | 702 Martin Luther King St, Mound Bayou, Mississippi |
| Phone Number | 6627412151 |
| Fax Number | 6627412339 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mitchell Seymour |
| Telephone Number | 6627412151 |
NPI Number Detail
| NPI Number | 1104848787 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 702 Martin Luther King St |
|---|---|
| City | Mound Bayou |
| State | Mississippi (MS) |
| Post Code | 387629314 |
| Phone Number | 6627412151 |
| Fax Number | 6627412339 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 18547 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9271023 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Delta Health Center by the Centers for Medicare & Medicaid Services?
The Delta Health Center has been issued the NPI (National Provider Identifier) 1104848787, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Delta Health Center's facilities are situated?
The facilities of Delta Health Center are physically located at the following address: 702 Martin Luther King St, Mound Bayou, MS, 387629314.
What is Delta Health Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Delta Health Center is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104848787 to Delta Health Center?
The Centers for Medicare & Medicaid Services assigned the 1104848787 to Delta Health Center on 2006-07-24.
As of what date were the Delta Health Center's details last updated?
The information pertaining to the Delta Health Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1588667679
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