# DELTA HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DELTA HEALTH CENTER MSCAN HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477890911
- **Authorized official:** GREGORY NORWOOD MD (PROVIDER)
- **Authorized official phone:** (662) 741-8871

## Contact information

- **Practice address:** 702 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9314
- **Practice address phone:** (662) 741-8882
- **Practice address fax:** (662) 741-8871
- **Mailing address:** 702 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9314
- **Mailing address phone:** (662) 741-8882
- **Mailing address fax:** (662) 741-8871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | MS | Yes |

## Other

- **Enumeration date:** 01/03/2013
- **Last updated:** 01/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09013118 | — | MS |
| 01 | — | 1659378610 | NPI | MS |