NPIMap

Organization Active NPI

Delta Health Center, Inc.

  • Rural Health Clinic/Center
  • Mound Bayou, MS
National Provider Identifier
1255545570
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DELTA HEALTH CENTER, INC.
Practice address
702 Martin Luther King Road
Mound Bayou, MS 38762-0900
Phone
(662) 741-2151
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Michelle Porter
Title
Revenue Coordinator
Phone
(662) 741-2151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

702 Martin Luther King Road
Mound Bayou, MS 38762-0900

Mailing address

702 Martin Luther King Road
Post Office Box 900
Mound Bayou, MS 38762-0900
Phone (662) 741-2151

National Provider Directory

National Provider Directory
Tax ID family
Delta Health Center34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255545570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 MARTIN LUTHER KING ROAD",
            "address_2": "POST OFFICE BOX 900",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387620900",
            "telephone_number": "662-741-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 MARTIN LUTHER KING ROAD",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387620900",
            "telephone_number": "662-741-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "REVENUE COORDINATOR",
        "authorized_official_telephone_number": "662-741-2151",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mound Bayou, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.