Delta Health System

Practice location Address checks out

785 Ohio Ave Ste 2H
Clarksdale, MS 38614-6216
Phone: (662) 627-3003

Additional practice locations (7)

• 785 Ohio Ave Ste 3d, Clarksdale, MS 38614-6215 — (662) 627-7726
• 785 Ohio Ave Ste 3e, Clarksdale, MS 38614-6215 — (662) 627-7726
• 785 Ohio Ave Ste 3g, Clarksdale, MS 38614-6215 — (662) 624-5026
• 785 Ohio Ave Ste 2e, Clarksdale, MS 38614-6216 — (662) 621-5006
• 785 Ohio Ave Ste 1h, Clarksdale, MS 38614-6213 — (662) 621-2438
• 785 Ohio Ave Ste 2d, Clarksdale, MS 38614-6216 — (662) 627-2509
• 1693 Fairgrounds Rd, Greenville, MS 38703-7810 — (662) 725-2292

Specialties & licences

Internal Medicine Physician (primary)	Taxonomy 207R00000X
Anesthesiology Physician	Taxonomy 207L00000X
Emergency Medicine Physician	Taxonomy 207P00000X
Family Medicine Physician	Taxonomy 207Q00000X
Gastroenterology Physician	Taxonomy 207RG0100X
Nephrology Physician	Taxonomy 207RN0300X
Pulmonary Disease Physician	Taxonomy 207RP1001X
Orthopaedic Surgery Physician	Taxonomy 207X00000X
Pediatrics Physician	Taxonomy 208000000X
Surgery Physician	Taxonomy 208600000X
Sleep Disorder Diagnostic Clinic/Center	Taxonomy 261QS1200X
Certified Registered Nurse Anesthetist	Taxonomy 367500000X

Record details

NPI number	1609464619
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Delta Health-The Medical Center
Authorized official	Iris Stacker — Chief Executive Officer · (662) 378-3783
Other names	Delta Health-Medical Group; Delta Health-Clarksdale Physician Group
NPI enumerated	January 5, 2021
Last updated in NPPES	November 14, 2022
Certification date	November 14, 2022
Mailing address	Po Box 5247, Greenville, MS 38704-5247