Organization
DELTA HEALTH CENTER, INC
Active
Other names
Dhc-Carver Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
MYRTIS SMALL (HR-CREDENTIALING)
(662) 741-8889
Entity
Organization
Contact information
Practice address
404 JEFFERSON ST, INDIANOLA, MS 38751-3265
(662) 884-1250
(662) 887-7086
Mailing address
702 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9314
(662) 741-8800
(662) 741-2700
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
07/08/2025
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