Organization
DELTA HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A. FAIRMAN (CHIEF EXECUTIVE OFFICER)
(662) 741-8880
Entity
Organization
Contact information
Practice address
118 FRONT AVE, INDIANOLA, MS 38751-2461
(662) 741-2151
(662) 741-2700
Mailing address
702 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9314
(662) 741-2151
(662) 741-2700
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/18/2014
Last updated
07/08/2025
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