MID-DELTA HEALTH SYSTEMS INC. NPI 1053938118

NPI Information

MID-DELTA HEALTH SYSTEMS, INC. is a federally qualified health center (fqhc) clinic center in De Witt, AR. MID-DELTA HEALTH SYSTEMS, INC. NPI is 1053938118. The provider is registered as an organization entity type.

The provider's business location address is:

1940 S WHITEHEAD DR
DE WITT, AR
ZIP 72042-906
Phone: (870) 946-4505
Fax: (870) 946-3357

The provider's authorized official is Rebecca Broadnax .
The authorized official title is Ar/billing/cred Manager and has the following contact phone number (870) 747-3381.

The CLIA number assigned to this NPI record is 04D0677682 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/6/2020 and was last updated on 7/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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