DELTA HEALTH SYSTEM NPI 1609464619

NPI Information

  • NPI: 1609464619
  • Provider Name: DELTA HEALTH SYSTEM
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: DELTA HEALTH-MEDICAL GROUP
  • Address: 785 OHIO AVE STE 2H
    CLARKSDALE, MS
    ZIP 38614
  • Phone: (662) 627-3003

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NPI Details

DELTA HEALTH SYSTEM is an internal medicine in Clarksdale, MS. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DELTA HEALTH SYSTEM NPI is 1609464619. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Delta Health-medical Group.

The provider's business location address is:

785 OHIO AVE STE 2H
CLARKSDALE, MS
ZIP 38614-216
Phone: (662) 627-3003

The provider's authorized official is Iris Stacker .
The authorized official title is Chief Executive Officer and has the following contact phone number (662) 378-3783.

The enumeration date for this NPI number is 1/5/2021 and was last updated on 11/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredNo
2207RN0300XInternal MedicineNephrologyNo
3207RP1001XInternal MedicinePulmonary DiseaseNo
4207X00000XOrthopaedic SurgeryNo
5208000000XPediatricsNo
6208600000XSurgeryNo
7261QS1200XClinic/CenterSleep Disorder DiagnosticNo
8207L00000XAnesthesiologyNo
9207P00000XEmergency MedicineNo
10207Q00000XFamily MedicineNo
11207RG0100XInternal MedicineGastroenterologyNo
12207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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