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Organization

DELTA HEALTH SYSTEM

Active
Other names
Delta Health-The Medical Center (Rural Health), Delta Regional Health Clinic, Delta Health-The Medical Center
Organization subpart
No

Provider details

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

Contact information

Practice address
300 S WASHINGTON AVE, GREENVILLE, MS 38701-4719
(662) 344-9100
(662) 725-1154
Mailing address
PO BOX 4739, GREENVILLE, MS 38704-4739
(662) 725-2423
(662) 725-2707

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09015375
MS
Enumeration date
01/11/2007
Last updated
10/17/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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