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Organization

DELTA HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEYMOUR MITCHELL (CEO)
(662) 741-2151
Entity
Organization

Contact information

Practice address
702 MARTIN LUTHER KING RD, MOUND BAYOU, MS 38762
(662) 741-2151
(662) 741-2339
Mailing address
702 MARTIN LUTHER KING RD., MOUND BAYOU, MS 38762
(662) 741-2151
(662) 741-2339

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
19183
MS

Other

Enumeration date
01/30/2007
Last updated
08/22/2020
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