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Organization

DELTA HEALTH SYSTEM

Active
Parent organization
DELTA HEALTH SYSTEM
Other names
Delta Health-Northwest Regional (RHC)
Organization subpart
Yes

Provider details

NPI number
Legal business name
DELTA HEALTH SYSTEM
Authorized official
IRIS STACKER (CEO)
(662) 725-2020
Entity
Organization

Contact information

Practice address
785 OHIO AVE STE 1H, CLARKSDALE, MS 38614-6213
(662) 624-8400
Mailing address
PO BOX 4597, GREENVILLE, MS 38704-4597

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
08/03/2021
Last updated
11/14/2022
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