MID-DELTA HEALTH SYSTEMS INC (NPI# 1255346060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255346060 |
| Entity Type | Organization |
| Organization Name | MID-DELTA HEALTH SYSTEMS INC |
| Practice Address |
245 Madison St Clarendon AR 72029-2706 |
| Practice Telephone | 8707473381 |
| Practice Fax Number | 8707473631 |
| Mailing Telephone | 8707473381 |
| Mailing Fax Number | 8707473631 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | REBECCA BROADNAX (AR/BILLING/CRED MANAGER) |
| Authorized Official Telephone | 8707473381 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 57079 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568475143 | Mid-delta Health Systems Inc | Clinic/Center | 693 Market St, De Valls Bluff, AR 72041 | 2006-08-14 |
| 1477566057 | Mid-delta Health Systems Inc | Clinic/Center | 243 S Smith St, Holly Grove, AR 72069 | 2006-08-14 |
| 1447368600 | Mid-delta Health Systems Inc | Hospice Care, Community Based | 405 N Hayden St, Belzoni, MS 39038-3639 | 2006-08-28 |
| Street Address |
245 MADISON ST |
| City | CLARENDON |
| State | AR |
| Zip Code | 72029-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871537084 | Richard Royce Wilson | Family Medicine | 245 Madison St, Clarendon, AR 72029-2706 | 2006-06-16 |
| 1194293928 | Christopher P. Hopkinson | Family Medicine | 245 Madison St, Clarendon, AR 72029-2706 | 2018-11-09 |
| 1497249031 | Thomas P Patten | Dentist | 245 Madison St, Clarendon, AR 72029-2706 | 2018-06-18 |
| 1306297965 | Ashlee Vanhouten | Nurse Practitioner | 245 Madison St, Clarendon, AR 72029-2706 | 2016-06-24 |
| 1164897823 | Ashley Laniece Loftis | Physician Assistant | 245 Madison St, Clarendon, AR 72029-2706 | 2015-12-07 |
| 1689940132 | Arpit R Patel | Family Medicine | 245 Madison St, Clarendon, AR 72029-2706 | 2012-03-29 |
| 1548492945 | Erica 'courtney' Moss | Nurse Practitioner | 245 Madison St, Clarendon, AR 72029-2706 | 2009-08-18 |
| 1811174238 | Sam A. Mcguire IIi | Family Medicine | 245 Madison St, Clarendon, AR 72029-2706 | 2008-01-28 |
| 1629287875 | Mid-delta Health Systems, Inc | Clinic/Center | 245 Madison St, Clarendon, AR 72029-2706 | 2007-05-22 |
| 1245379528 | Curtis Andrew Schalchlin | General Practice | 245 Madison St, Clarendon, AR 72029-2706 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548468010 | Baptist Health Hospitals | Clinic/Center | 198 N Main Street, Clarendon, AR 72029 | 2007-07-06 |
| 1285849844 | Mid-delta Health Systems, Inc. | Clinic/Center | 245 Madison St., Clarendon, AR 72029 | 2007-05-14 |
| 1093816217 | Christina Kaye Dunlap | Pharmacy Technician | 333 Madison St., Clarendon, AR 72029 | 2006-09-26 |
| 1972616126 | Polk Pharmacy Management, LLC | Pharmacy | 333 Madison Street, Clarendon, AR 72029 | 2006-08-15 |
| 1194826305 | Jill R Vandesteeg | Pharmacy Technician | 333 Madison St, Clarendon, AR 72029 | 2006-09-26 |
| 1922109974 | Leah K Williamson | Pharmacist | 333 Madison, Clarendon, AR 72029 | 2006-09-25 |
| 1770685083 | Mary Carole M Polk | Pharmacist | 333 Madison Street, Clarendon, AR 72029 | 2006-09-05 |
| 1851525463 | Dewitt Hospital & Nursing Home, Inc | Ambulance | 270 Madison St, Clarendon, AR 72029-0000 | 2009-05-11 |
| 1043686116 | Megan Ellis | Contractor | 545 N Main St, Clarendon, AR 72029-2017 | 2015-08-12 |
| 1003034273 | Clarendon Public Schools | Local Education Agency (LEA) | 316 N 6th St, Clarendon, AR 72029-2412 | 2007-04-23 |
| Find all providers in zip 72029 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285849844 | Mid-delta Health Systems, Inc. | Clinic/Center | 245 Madison St., Clarendon, AR 72029 | 2007-05-14 |
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|---|---|---|---|---|
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| 1396383758 | Mainline Health Systems Inc | Clinic/Center | 1012 E Church St Ste B, Warren, AR 71671-3530 | 2019-12-17 |
| 1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
| 1649814138 | St Francis House Nwa, Inc | Clinic/Center | 2328 Cardinal Drive, Springdale, AR 72764-4469 | 2019-10-29 |
| 1104469832 | Arcare | Clinic/Center | 501 Millwood Cir Ste E, Maumelle, AR 72113-6304 | 2019-10-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.