Delta Health Center in Mound Bayou - Federally Qualified Health Center (fqhc)
Delta Health Center - NPI 1396767125
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 1396767125. 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 | 1396767125 |
|---|---|
| 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 | 18722 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7527883 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Delta Health Center by the Centers for Medicare & Medicaid Services?
The Delta Health Center has been assigned the NPI (National Provider Identifier) 1396767125. This 10-digit code serves as a unique identification number for healthcare providers issued 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 the Delta Health Center's area of specialization and corresponding taxonomy classification?
The Delta Health Center's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Delta Health Center receive the assignment of its 1396767125 from the Centers for Medicare & Medicaid Services?
The Delta Health Center was issued its 1396767125 by the Centers for Medicare & Medicaid Services on 2006-07-24.
As of what date were the details pertaining to Delta Health Center last refreshed?
The information related to the Delta Health Center, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1932102142
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