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Organization
DELTA HEALTH SYSTEM
Active
Organization
DELTA HEALTH SYSTEM
Active
Other names
Delta Regional Medical Center, Delta Health-The Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRIS Y. STACKER RHIA (INTERIM CEO)
(662) 725-2099
Entity
Organization
Contact information
Practice address
1400 EAST UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
(662) 725-2289
Mailing address
1400 EAST UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
(662) 725-2289
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
282NR1301X
Rural Acute Care Hospital
Primary
11-189
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020145
BLUE CROSS PROVIDER NUMBE
MS
05
—
000020145
—
MS
Enumeration date
10/25/2006
Last updated
11/14/2022
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