Delta Health System

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

DELTA HEALTH SYSTEM

Practice address

1970 Hospital Dr
Clarksdale, MS 38614-7202

Phone

(662) 627-3211

NPI assigned

May 18, 2021

Organization subpart

Yes

Parent organization

DELTA HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

Iris Stacker

Title

Ceo

Phone

(662) 725-2020

Specialties & licenses 1

Addresses

Other names 2

• Delta Health System-Coahoma Clarksdale Medical Center(ER) Doing business as
• Delta Health-Northwest Regional(ER) Doing business as

Part of

Delta Regional Medical Center Ambulance Service

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1215501788",
    "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": "662-627-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147202",
            "telephone_number": "662-627-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELTA HEALTH SYSTEM",
        "enumeration_date": "2021-05-18",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "STACKER",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-725-2020"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Health System-Coahoma Clarksdale Medical Center(ER)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delta Health-Northwest Regional(ER)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delta Cardiovascular Center, PC
• Delta Compassionate Care Counseling
• Delta Concierge Medicine, Inc.
• Delta Discount Drugs Inc.
• Delta EMS
• Delta Health System
• Delta Health System
• Delta Health System
• Delta Health System
• Delta Health System

• Emergency Care Clinic/Center in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Emergency Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.