DELTA HEALTH CENTER, INC.
NPI 1508057076
Clinic/Center - Federally Qualified Health Center (FQHC) in Greenville, MS

Active since August 08, 2007CLIA 25D0866231 · Waiver
1414 HOSPITAL ST, GREENVILLE, MS 38703(662) 335-3991(662) 332-1736 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Delta Health Center, Inc. NPPES

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

DELTA HEALTH CENTER, INC. (NPI 1508057076) is a healthcare organization registered as a federally qualified health center (fqhc) in Greenville, Mississippi and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through June 5, 2028 and lists John Fairman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508057076
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDELTA HEALTH CENTER, INC.
Location Address1414 HOSPITAL STGreenville, MS 38703-3217
Mailing Address702 Martin Luther King Road, Post Office Box 900Mound Bayou, MS 38762-0900 · (662) 335-3991 · Fax (662) 332-1736
Fax(662) 332-1736
Organization SubpartNo
Authorized OfficialJohn FairmanCeo · (662) 741-2358
Enumeration DateAugust 8, 2007
Last NPPES UpdateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
NPI 1508057076 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
1414 HOSPITAL ST, Greenville, MS 38703

Other Identifiers 1

Medicaid09014251MS

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 25D0866231

Delta Health Center Satellite Lab · Greenville, MS
Active · expires Jun 5, 2028
CLIA Number25D0866231
Laboratory TypeOther
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorMarketta Blue
Laboratory Phone(662) 335-3991
Laboratory LocationDelta Health Center Satellite Lab1414 Hospital Street, Greenville, MS 38703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1414 HOSPITAL ST
GREENVILLE, MS 38703

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 1508057076. It was assigned to this organization in the NPPES registry on August 8, 2007.

Where is Delta Health Center, Inc. located?

Delta Health Center, Inc. is located at 1414 Hospital St, Greenville, MS 38703. The listed phone number is (662) 335-3991.

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 25D0866231) is associated with this NPI, valid through June 5, 2028. 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.