NPIMap

Organization Active NPI

Delta Health System

Doing business as Delta Health-The Medical Center

  • Psychiatric Hospital Unit
  • Greenville, MS
National Provider Identifier
1497830806
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
11-189 Issued in MS
Legal business name
DELTA HEALTH SYSTEM
Doing business as
Delta Health-The Medical Center
Practice address
300 S Washington Ave
Greenville, MS 38701-4719
Phone
(662) 378-3783
Fax
(662) 725-2289
NPI assigned
Oct 25, 2006
Last updated
Oct 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DELTA HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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
Interim Ceo
Phone
(662) 725-2099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 11-189 MS Primary

Addresses

Primary practice location

300 S Washington Ave
Greenville, MS 38701-4719

Mailing address

1400 E Union St
Greenville, MS 38703-3246
Phone (662) 378-3783

Other names 3

  • Delta Health-The Medical Center Doing business as
  • Delta Regional Medical Center Geri Psych Former legal business name
  • Delta Health-The Medical Center (Geri Psych) Other name

National Provider Directory

National Provider Directory
Part of
Adams Clausen Patholo

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1497830806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S WASHINGTON AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014719",
            "telephone_number": "662-378-3783",
            "fax_number": "662-725-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELTA HEALTH SYSTEM",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "STACKER",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "662-725-2099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MS",
            "license": "11-189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Health-The Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delta Regional Medical Center Geri Psych",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Delta Health-The Medical Center (Geri Psych)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.