# DELTA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DELTA HEALTH SYSTEM
- **Other names:** Delta Health-Medical Group (Anesthesia)
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447818026
- **Legal business name:** DELTA HEALTH SYSTEM
- **Authorized official:** IRIS STACKER (CEO)
- **Authorized official phone:** (662) 725-2020

## Contact information

- **Practice address:** 1400 E UNION ST, GREENVILLE, MS 38703-3246
- **Practice address phone:** (662) 378-3783
- **Practice address fax:** (662) 725-2189
- **Mailing address:** PO BOX 5247, GREENVILLE, MS 38704-5247
- **Mailing address phone:** (662) 725-2740
- **Mailing address fax:** (662) 725-2189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/30/2019
- **Last updated:** 11/14/2022