Organization
DELTA HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE CALHOUN (CLINIC DIRECTOR)
(662) 390-6728
Entity
Organization
Contact information
Practice address
201 BAKER BLVD, LELAND, MS 38756-3401
(662) 686-4121
Mailing address
201 BAKER BLVD, LELAND, MS 38756-3401
(662) 686-4121
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
966642
MS
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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