DELTA HEALTH CENTER, INC.
NPI 1215583356
Clinic/Center - Federally Qualified Health Center (FQHC) in Indianola, MS

Active since August 14, 2019CLIA 25D2171526 · Waiver
302 COLLEGE AVE, INDIANOLA, MS 38751(662) 884-1260(662) 741-2700 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 8, 2025, Aug 14, 2019 (2 updates tracked since 2019).

About Delta Health Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELTA HEALTH CENTER, INC. (NPI 1215583356), doing business as Dhc-lockard Elementary School, is a healthcare organization registered as a federally qualified health center (fqhc) in Indianola, Mississippi and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through September 2, 2027 and lists Myrtis Small, Hr/credentialing, as its authorized official.

NPPES Registry Identity

NPI1215583356
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDELTA HEALTH CENTER, INC.
Location Address302 COLLEGE AVEIndianola, MS 38751-2112
Mailing AddressPo Box 900Mound Bayou, MS 38762-0900 · (662) 884-1260 · Fax (662) 741-2700
Fax(662) 741-2700
Organization SubpartNo
Authorized OfficialMyrtis SmallHr/credentialing · (662) 741-8889
Enumeration DateAugust 14, 2019
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
NPI 1215583356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
302 COLLEGE AVE, Indianola, MS 38751

Other Names 1

Doing Business AsDhc-lockard Elementary School

Other Identifiers 1

Medicaid09013118MS

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2171526

Delta Health Center Lockard Elementary School · Indianola, MS
Active · expires Sep 2, 2027
CLIA Number25D2171526
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorDr. Marketta Blue
Laboratory Phone(662) 884-1260
Laboratory LocationDelta Health Center Lockard Elementary School302 College St, Indianola, MS 38751
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delta Health Center, Inc.'s NPI number?

The NPI number for Delta Health Center, Inc. is 1215583356. It was assigned to this organization in the NPPES registry on August 14, 2019. The provider is doing business as Dhc-Lockard Elementary School.

Where is Delta Health Center, Inc. located?

Delta Health Center, Inc. is located at 302 College Ave, Indianola, MS 38751. The listed phone number is (662) 884-1260.

What is Delta Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Delta Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2171526) is associated with this NPI, valid through September 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Delta Health Center, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Delta Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Delta Health Center, Inc. was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.