Organization
DELTA HEALTH CENTER, INC
Active
Other names
DHC-MVSU
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL D WHITING (CFO)
(662) 741-8871
Entity
Organization
Contact information
Practice address
14000 HIGHWAY 82 W, ITTA BENA, MS 38941-1400
(662) 741-8800
Mailing address
702 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9314
(662) 741-8800
(662) 741-2700
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013118
—
MS
Enumeration date
07/30/2021
Last updated
07/08/2025
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