DELTA HEALTH CENTER, INC.
NPI 1336517606
Clinic/Center - Federally Qualified Health Center (FQHC) in Rolling Fork, MS
About Delta Health Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DELTA HEALTH CENTER, INC. (NPI 1336517606) is a healthcare organization registered as a federally qualified health center (fqhc) in Rolling Fork, Mississippi and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through November 9, 2027 and lists John A. Fairman, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Delta Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Delta Health Center, Inc., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 28Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 25D2104734
Delta Health Center - Rolling Fork Satellite · Rolling Fork, MSFrequently 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 1336517606. It was assigned to this organization in the NPPES registry on September 3, 2015.
Where is Delta Health Center, Inc. located?
Delta Health Center, Inc. is located at 20400 Highway 61, Rolling Fork, MS 39159. The listed phone number is (662) 741-2151.
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.
Is Delta Health Center, Inc. enrolled in Medicare?
Yes. Delta Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Delta Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 10 Medicare specialties reassign their Medicare billing to Delta Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Dentist (3) and Pediatric Medicine (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Delta Health Center, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2104734) is associated with this NPI, valid through November 9, 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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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 15 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.
# Delta Health Center, Inc. · NPI 1336517606
Federally Qualified Health Center (FQHC) organization in Rolling Fork, Mississippi. Organization record, active in the CMS NPPES registry since September 3, 2015.
## Identity
- **NPI:** 1336517606 (Entity type: Organization)
- **Enumerated:** September 3, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** John Fairman, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 20400 HIGHWAY 61, Rolling Fork, MS 39159
- **Phone:** (662) 741-2151 · **Fax:** (662) 741-2700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Dentist (3), Pediatric Medicine (3); [full list](https://npiprofile.com/npi/1336517606/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336517606) · Data from the CMS NPPES public registry.