Organization · Type 2 NPI
Delta Health Center
Federally Qualified Health Center (FQHC) · Mound Bayou, MS
NPI number
1700923836
Active
Practice location
702 Martin Luther King Rd
Mound Bayou, MS 38762
Fax (662) 741-2339
Mailing address
702 Martin Luther King Rd.
Mound Bayou, MS 38762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 19183 (MS) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1700923836
Delta Health Center's National Provider Identifier is 1700923836, issued on Jan 30, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mound Bayou, MS. The record was last updated on Aug 22, 2020.