| Mid-delta Health Systems, Inc | |
|
245 Madison St Clarendon AR 72029-2706 | |
| (870) 747-3381 | |
| (870) 747-3631 |
| Full Name | Mid-delta Health Systems, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 245 Madison St, Clarendon, Arkansas |
| Authorized Official Name and Position | Rebecca Broadnax (AR/BILLING/CRED MANAGER) |
| Authorized Official Contact | 8707473381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-delta Health Systems, Inc 245 Madison St Clarendon AR 72029-2706 Ph: (870) 747-3381 | Mid-delta Health Systems, Inc 245 Madison St Clarendon AR 72029-2706 Ph: (870) 747-3381 |
| NPI Number | 1629287875 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 07/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629287875 | NPI | - | NPPES |
| 112903631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Arkansas) | Primary |