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
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