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
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