Organization
DELTA HEALTH ALLIANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY MARLIN WOMACK JR. (VP)
(662) 686-3881
Entity
Organization
Contact information
Practice address
201 BAKER BLVD, LELAND, MS 38756-3401
(662) 686-4121
(662) 686-4770
Mailing address
201 BAKER BLVD, LELAND, MS 38756-3401
(662) 686-4121
(662) 686-4770
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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