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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
115 COURT STREET, MAYERSVILLE, MS 39113
(662) 741-8880
Mailing address
702 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9314
(662) 741-8800
(662) 741-8889

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
MS

Other

Enumeration date
09/01/2015
Last updated
07/08/2025
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