Delta Health Center, Inc. in Mound Bayou - Federally Qualified Health Center (fqhc)
Delta Health Center, Inc. - NPI 1508057076
Delta Health Center, Inc. is a Federally Qualified Health Center (fqhc) in Mound Bayou, Mississippi. Delta Health Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Delta Health Center, Inc. is 1508057076. The last update date is 2010-11-23.
Delta Health Center, Inc.'s current location address is 702 Martin Luther King Road, Mound Bayou, Mississippi. You can contact this provider via phone number 6623353991 and fax number 6623321736. The mailing address for Delta Health Center, Inc. is 702 Martin Luther King Road, Mound Bayou, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Delta Health Center, Inc. |
|---|---|
| Address | 702 Martin Luther King Road, Mound Bayou, Mississippi |
| Phone Number | 6623353991 |
| Fax Number | 6623321736 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Fairman John |
| Telephone Number | 6627412358 |
NPI Number Detail
| NPI Number | 1508057076 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2010-11-23 |
Provider Mailing Address Detail
| Address | 702 Martin Luther King Road |
|---|---|
| City | Mound Bayou |
| State | Mississippi (MS) |
| Post Code | 387620900 |
| Phone Number | 6623353991 |
| Fax Number | 6623321736 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
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 |
|---|---|---|---|
| 9014251 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Delta Health Center, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Delta Health Center, Inc. has been assigned the NPI (National Provider Identifier) 1508057076. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Delta Health Center, Inc. located?
The Delta Health Center, Inc. is located at 702 Martin Luther King Road, Mound Bayou, MS 387620900.
What is Delta Health Center, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Delta Health Center, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did Delta Health Center, Inc. receive its 1508057076 assignment from the Centers for Medicare & Medicaid Services?
The Delta Health Center, Inc. was assigned its 1508057076 on 2007-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Delta Health Center, Inc.'s details last updated?
The information pertaining to the Delta Health Center, Inc., including its address, specialty, and other details, was most recently updated on 2010-11-23.
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