Organization
DELTA HEALTH CENTER, INC
Active
Other names
DHC-MOORHEAD CENTRAL SCHOOL
Organization subpart
No
Provider details
NPI number
Authorized official
MYRTIS SMALL (HR-CREDENTIALING DIRECTOR)
(662) 741-8889
Entity
Organization
Contact information
Practice address
506 WASHINGTON AVENUE, MOORHEAD, MS 38761
(662) 246-5680
(662) 246-5080
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
—
01635257
—
MS
05
—
09013118
—
MS
Enumeration date
08/15/2019
Last updated
07/08/2025
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