Clinic/Center in MOUND BAYOU, MS
Last Updated on : Jan 03,2013
DELTA HEALTH CENTER MSCAN HOSPITAL (DELTA HEALTH CENTER, INC) is a Clinic/Center in MOUND BAYOU, United States .
1477890911 is NPI number of DELTA HEALTH CENTER MSCAN HOSPITAL.
DELTA HEALTH CENTER MSCAN HOSPITAL's primary taxonomy code based on NPI Lookup is 261Q00000X with license number . This taxonomy code refers to Clinic/Center.
DELTA HEALTH CENTER MSCAN HOSPITAL current practice location address is 702 MARTIN LUTHER KING ST, MOUND BAYOU, MS. DELTA HEALTH CENTER MSCAN HOSPITAL can be reached out via phone at 662-741-8882 and via fax at 662-741-8871 .
You can also correspond with DELTA HEALTH CENTER MSCAN HOSPITAL through mail at mailing address 702 MARTIN LUTHER KING ST, MOUND BAYOU, MS, United States. Mailing address contact number is 662-741-8882.
The enumeration date of DELTA HEALTH CENTER MSCAN HOSPITAL is 03-Jan-2013. The provider is registered as an Organization and the NPI record was last updated 10 years ago. The authorized official of DELTA HEALTH CENTER MSCAN HOSPITAL is Gregory Norwood (Provider). Gregory Norwood can be reached at 6627418871.Basic NPI information of DELTA HEALTH CENTER MSCAN HOSPITAL (NPI 1477890911) is provided below.
Name | DELTA HEALTH CENTER MSCAN HOSPITAL |
---|---|
National Provider Id (NPI) | 1477890911 |
Entity Type | Organization |
Practice Address | 702 MARTIN LUTHER KING ST,
MOUND BAYOU, MS, United States |
Practice Telephone | 662-741-8882 |
Practice Fax Number | 662-741-8871 |
Mailing Address | 702 MARTIN LUTHER KING ST ,
MOUND BAYOU, MS, United States |
Mailing Telephone | 662-741-8882 |
Mailing Fax Number | 662-741-8871 |
Enumeration Date | 03-Jan-2013 |
Last Updated Date | 03-Jan-2013 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | MS |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
09013118 | MEDICAID (05) | MS | |
1659378610 | Other (non-Medicare) (01) | MS | NPI |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1477890911 | DELTA HEALTH CENTER, INC | Clinic/Center | 702 MARTIN LUTHER KING ST,
MOUND BAYOU, MS, United States |
03-Jan-2013 |
1023294774 | CAROL MACK | Social Worker | 702 MARTIN LUTHER KING ST,
MOUND BAYOU, MS, United States |
11-Jan-2008 |
1790293314 | LINDA STOUT COLEMAN | Counselor, Mental Health | 503 WASHINGTON AVE,
MOUND BAYOU, MS, United States |
17-Jan-2018 |
1477090728 | META H ANDERSON | Nurse Practitioner, Family | 702 MARTIN LUTHER KING ST,
POB 900 MOUND BAYOU, MS, United States |
25-Jan-2017 |
1033255245 | DELTA HEALTH CENTER, INC | Home Health | 702 MARTIN LUTHER KING ST,
P. O. BOX 900 MOUND BAYOU, MS, United States |
29-Jan-2007 |
1700923836 | DELTA HEALTH CENTER | Clinic/Center, Federally Qualified Health Center (FQHC) | 702 MARTIN LUTHER KING RD.,
MOUND BAYOU, MS, United States |
30-Jan-2007 |
1467999318 | KIRSTEN WESTERFIELD | Dietitian, Registered | 702 MARTIN LUTHER KING ST,
MOUND BAYOU, MS, United States |
30-Jan-2017 |
1295290872 | LAURA GRANT | Clinical Exercise Physiologist | PO BOX 900,
MOUND BAYOU, MS, United States |
07-Feb-2019 |
1689033706 | NORTH BOLIVAR CONSOLIDATED SCHOOL DISTRICT | Local Education Agency (LEA) | 201 GREEN ST,
MOUND BAYOU, MS, United States |
17-Feb-2016 |
1417092032 | DELTA HEALTH CENTER INC. | Pharmacy, Community/Retail Pharmacy | PO BOX 900,
MOUND BAYOU, MS, United States |
21-Feb-2007 |
1629310487 | COMMUNITY ADULT DAY CARE | Clinic/Center, Adult Day Care | 404 HOLT ST,
BOX 3 MOUND BAYOU, MS, United States |
20-Mar-2013 |
1629495452 | DELTA HEALTH CENTER, INC. | Clinic/Center, Federally Qualified Health Center (FQHC) | 702 MARTIN LUTHER KING ST,
MOUND BAYOU, MS, United States |
18-Mar-2014 |
1669691861 | DELTA HEALTH CENTER | Clinic/Center, Federally Qualified Health Center (FQHC) | PO BOX 900,
MOUND BAYOU, MS, United States |
25-Apr-2007 |
1285951970 | DELTA HEALTH CENTER, INC | Clinic/Center, Federally Qualified Health Center (FQHC) | 702 MARTIN LUTHER KING ROAD,
POST OFFICE BOX 900 MOUND BAYOU, MS, United States |
21-Apr-2010 |
1255545570 | DELTA HEALTH CENTER, INC. | Clinic/Center, Rural Health | 702 MARTIN LUTHER KING ROAD,
POST OFFICE BOX 900 MOUND BAYOU, MS, United States |
09-May-2007 |
1932767118 | ANNE BARRY ROBERTSON | Nurse Practitioner | 702 MARTIN LUTHER KING ST,
MOUND BAYOU, MS, United States |
03-Jun-2019 |
1043236722 | MICHAEL LEO BAKER | Family Medicine | 29 S FOURTH ST,
ROLLING FORK, MS, United States |
14-Jul-2006 |
1891137873 | BEVERLY C JOHNSON | Hospice Care, Community Based | 114 EDWARD AVENUE,
SUITE B MOUND BAYOU, MS, United States |
19-Jul-2013 |
1104848787 | DELTA HEALTH CENTER | Clinic/Center, Federally Qualified Health Center (FQHC) | 702 MARTIN LUTHER KING ST,
MOUND BAYOU, MS, United States |
24-Jul-2006 |
1396767125 | DELTA HEALTH CENTER | Clinic/Center, Federally Qualified Health Center (FQHC) | 702 MARTIN LUTHER KING ST,
MOUND BAYOU, MS, United States |
24-Jul-2006 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1477890911 is the NPI number of DELTA HEALTH CENTER MSCAN HOSPITAL.
Where is DELTA HEALTH CENTER MSCAN HOSPITAL located?DELTA HEALTH CENTER MSCAN HOSPITAL is located at 702 MARTIN LUTHER KING ST, MOUND BAYOU, MS.
Field Name | Field Value |
---|---|
NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|