Organization
DELTA HEALTH CENTER, INC.
Active
Organization
DELTA HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FAIRMAN (CEO)
(662) 741-2358
Entity
Organization
Contact information
Practice address
1414 HOSPITAL ST, GREENVILLE, MS 38703-3217
(662) 335-3991
(662) 332-1736
Mailing address
702 MARTIN LUTHER KING ROAD, POST OFFICE BOX 900, MOUND BAYOU, MS 38762-0900
(662) 335-3991
(662) 332-1736
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014251
—
MS
Enumeration date
08/08/2007
Last updated
07/08/2025
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