NPIMap

Organization Active NPI

Delta Health System

Doing business as Delta Health Provider Based Clinics

  • Clinic/Center
  • Greenville, MS
National Provider Identifier
1083764542
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DELTA HEALTH SYSTEM
Doing business as
Delta Health Provider Based Clinics
Practice address
1400 E Union St
Greenville, MS 38703-3246
Phone
(662) 378-3783
Fax
(662) 725-2289
NPI assigned
Jan 10, 2007
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Iris Y. Stacker, RHIA
Title
Ceo
Phone
(662) 725-2099

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Clinic/Center 261Q00000X Primary
Oncology Clinic/Center 261QX0200X

Addresses

Primary practice location

1400 E Union St
Greenville, MS 38703-3246

Mailing address

PO Box 5247
Greenville, MS 38704-5247
Phone (662) 378-3783

Other names 1

  • Delta Health Provider Based Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040503000961 MS Part B Supplier - Clinic/Group Practice 0042208787 Receives reassigned benefits from 3 practitioners
4 other NPIs on this enrollment
Practice locations: Clarksdale, MS; Cleveland, MS; Greenville, MS

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Delta Health-the Medical Center (Ip Rehab)Greenville, MS, CCN 25T082 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 1984
Delta Health-the Medical CenterGreenville, MS, CCN 257098 Home health agency 5% Or Greater Direct Ownership Interest Nov 24, 1975
Delta Health - the Medical Center (Hospice)Greenville, MS, CCN 251538 Hospice 5% Or Greater Direct Ownership Interest Nov 24, 1975
Delta Health SystemGreenville, MS, CCN 253461 Rural health clinic Operational/Managerial Control (100%) Jun 10, 1996

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Delta Health System

    dba Delta Health-The Medical Center

    • Community Based Hospice Care Agency
    • Greenville, MS
    • NPI 1295822575

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Delta Health System

    dba Delta Health-The Medical Center

    • Rural Health Clinic/Center
    • Greenville, MS
    • NPI 1366592610

    Operational/Managerial Control

    CMS ownership
  • Delta Health System

    dba Delta Health-The Medical Center

    • Home Health Agency
    • Greenville, MS
    • NPI 1477651362

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Delta Health System

    dba Delta Health-The Medical Center

    • Rehabilitation Hospital Unit
    • Greenville, MS
    • NPI 1760567168

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1083764542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5247",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387045247",
            "telephone_number": "662-378-3783",
            "fax_number": "662-725-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033246",
            "telephone_number": "662-378-3783",
            "fax_number": "662-725-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "STACKER",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-725-2099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Health Provider Based Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.