Organization
DELTA HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A. FAIRMAN (CHIEF EXECUTIVE OFFICER)
(662) 741-8880
Entity
Organization
Contact information
Practice address
100 EAST WASHINGTON STREET, HOLLANDALE, MS 38748
(662) 741-8800
(662) 741-2700
Mailing address
100 EAST WASHINGTON STREET, HOLLANDALE, MS 38748
(662) 741-8800
(662) 741-2700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MS
Other
Enumeration date
08/26/2015
Last updated
07/08/2025
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