| Mid-delta Health Systems, Inc. | |
|
2022 S Buerkle St Stuttgart AR 72160-6508 | |
| (870) 747-3381 | |
| (870) 747-3631 |
| Full Name | Mid-delta Health Systems, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2022 S Buerkle St, Stuttgart, Arkansas |
| Authorized Official Name and Position | Rebecca Broadnax (AR SUPERVISOR) |
| 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. 2022 S Buerkle St Stuttgart AR 72160-6508 Ph: (870) 747-3381 |
| NPI Number | 1205551884 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 10/06/2022 |
| Medicare PECOS PAC ID | 3870574668 |
|---|---|
| Medicare Enrollment ID | O20230329001684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205551884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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