| 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 |
| Location | 245 Madison St, Clarendon, Arkansas |
| Authorized Official Name and Position | Rebecca Broadnax (AR/BILLING/CRED MANAGER) |
| Authorized Official Contact | 8707473381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 | 1255346060 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 07/06/2020 |
| Medicare PECOS PAC ID | 3870574668 |
|---|---|
| Medicare Enrollment ID | O20040527000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255346060 | NPI | - | NPPES |
| 57079 | Other | AR | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Richard R Wilson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871537084 PECOS PAC ID: 6507869716 Enrollment ID: I20060808000467 |
| Provider Name | Rhonda M Mattox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154412815 PECOS PAC ID: 4385646355 Enrollment ID: I20070203000052 |
| Provider Name | Curtis A Schalchlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245379528 PECOS PAC ID: 7719066539 Enrollment ID: I20080506000212 |
| Provider Name | Wallace L Tracy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366438384 PECOS PAC ID: 3274659495 Enrollment ID: I20100924001157 |
| Provider Name | Leigh Ann Guest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053544015 PECOS PAC ID: 4789832510 Enrollment ID: I20130418000078 |
| Provider Name | Heather Deann Spoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790802809 PECOS PAC ID: 5294975702 Enrollment ID: I20130705000207 |
| Provider Name | Erica "courtney" Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548492945 PECOS PAC ID: 2860615473 Enrollment ID: I20140529002030 |
| Provider Name | Nancy Aline Hornsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922497049 PECOS PAC ID: 4183941404 Enrollment ID: I20150326000655 |
| Provider Name | Melissa Blair Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972988723 PECOS PAC ID: 2163738758 Enrollment ID: I20150827000566 |
| Provider Name | Arpit R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689940132 PECOS PAC ID: 5991013138 Enrollment ID: I20151007002442 |
| Provider Name | Haley H Ligon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942785381 PECOS PAC ID: 7315281342 Enrollment ID: I20181203001589 |
| Provider Name | Chris Paul Hopkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194293928 PECOS PAC ID: 2961746532 Enrollment ID: I20191126000997 |
| Provider Name | Lauren Coker Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700498110 PECOS PAC ID: 0446677413 Enrollment ID: I20200908000173 |
| Provider Name | Laura Ann Hannum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265102859 PECOS PAC ID: 2567851405 Enrollment ID: I20211115000701 |
| Provider Name | Jess A Calohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992813679 PECOS PAC ID: 4981998648 Enrollment ID: I20221005002400 |
| Provider Name | Tiffany N Mcpherson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629376173 PECOS PAC ID: 5496108532 Enrollment ID: I20240125001151 |
Baptist Health Family Clinic Clarendon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 198 N Main Street, Clarendon, AR 72029 Phone: 870-747-3349 | |
Clarendon Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 S Main St, Clarendon, AR 72029 Phone: 870-747-3349 Fax: 870-747-3866 | |
Mid-delta Health Systems, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1117 Eason Rd, Clarendon, AR 72029 Phone: 870-747-3381 Fax: 870-747-3631 | |
Mid-delta Health Systems, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 631 N 11th Street, Clarendon, AR 72029 Phone: 870-747-1854 Fax: 870-747-3631 | |
Mid-delta Health Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Madison St, Clarendon, AR 72029 Phone: 870-747-3381 Fax: 870-747-3631 |