Organization
DELTA HEALTH SYSTEM
Active
Parent organization
DELTA HEALTH SYSTEM
Other names
Delta Health-Medical Group (Anesthesia)
Organization subpart
Yes
Provider details
NPI number
Legal business name
DELTA HEALTH SYSTEM
Authorized official
IRIS STACKER (CEO)
(662) 725-2020
Entity
Organization
Contact information
Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
(662) 725-2189
Mailing address
PO BOX 5247, GREENVILLE, MS 38704-5247
(662) 725-2740
(662) 725-2189
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/30/2019
Last updated
11/14/2022
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.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up