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NPI Code Detail

MEDICARE: DELTA HEALTH SYSTEM

MEDICARE: DELTA HEALTH SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1273R00000XPsychiatric Hospital Unit11-189MS

General Provider Information

NPI Number : 1497830806
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELTA HEALTH SYSTEM
Provider Business Mailing Address
First Line : 1400 E UNION ST
Second Line :
City : GREENVILLE
State : MS
Zip : 38703-3246
Country : US
Telephone Number : 662-378-3783
Fax Number : 662-725-2289
Provider Business Practice Location Address
First Line : 300 S WASHINGTON AVE
Second Line :
City : GREENVILLE
State : MS
Zip : 38701-4719
Country : US
Telephone Number : 662-378-3783
Fax Number : 662-725-2289
Authorized Official
Title or Position : INTERIM CEO
Name : MS. IRIS Y. STACKER
Credential : RHIA
Telephone Number : 662-725-2099
Provider Enumeration Date : 10/25/2006
Last Update Date : 10/17/2022

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Directions to “DELTA HEALTH SYSTEM ” Practice Location

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