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Organization

DELTA HEALTH SYSTEM

Active
Other names
Delta Health Provider Based Clinics
Organization subpart
No

Provider details

NPI number
Authorized official
MS. IRIS Y. STACKER RHIA (CEO)
(662) 725-2099
Entity
Organization

Contact information

Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
(662) 725-2289
Mailing address
PO BOX 5247, GREENVILLE, MS 38704-5247
(662) 378-3783
(662) 725-2289

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
261Q00000X
Clinic/Center
Primary
261QX0200X
Oncology Clinic/Center

Other

Enumeration date
01/10/2007
Last updated
05/12/2026
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