Delta Health Alliance, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

DELTA HEALTH ALLIANCE, INC.

Practice address

201 Baker Blvd
Leland, MS 38756-3401

Phone

(662) 686-4121

Fax

(662) 686-4770

NPI assigned

Sep 7, 2022

Last updated

Sep 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry Marlin Womack Jr.

Title

VP

Phone

(662) 686-3881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1437870573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BAKER BLVD",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387563401",
            "telephone_number": "662-686-4121",
            "fax_number": "662-686-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BAKER BLVD",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387563401",
            "telephone_number": "662-686-4121",
            "fax_number": "662-686-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "MARLIN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "662-686-3881",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle B Clem, LPC
• Latoyia Cole
• Comfort & Care Transportation LLC
• Creative Occupational Therapy Soultions1074212
• Delta Health Alliance
• Delta Health Center, Inc
• Eye Care of Leland PA
• First Choice Homemaker Services Inc
• First Choice Homemaker Services Inc.
• Shelly Frazier Fowler, PHD, LPC, NCC, NCSC

• Federally Qualified Health Center (FQHC) in Leland, MS
• Providers in Leland, MS by specialty
• Federally Qualified Health Center (FQHC) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.