| Mid-delta Health Systems, Inc. | |
|
1117 Eason Rd Clarendon AR 72029-2808 | |
| (870) 747-3381 | |
| (870) 747-3631 |
| Full Name | Mid-delta Health Systems, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1117 Eason Rd, Clarendon, Arkansas |
| Authorized Official Name and Position | Rebecca Broadnax (AR/CREDENTIALING MANAGER) |
| Authorized Official Contact | 8707478011 |
| 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) 747-8011 | Mid-delta Health Systems, Inc. 1117 Eason Rd Clarendon AR 72029-2808 Ph: (870) 747-3381 |
| NPI Number | 1679354468 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 3870574668 |
|---|---|
| Medicare Enrollment ID | O20231204001115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679354468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mid-delta Health Systems Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 245 Madison St, Clarendon, AR 72029 Phone: 870-747-3381 Fax: 870-747-3631 | |
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: 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 |