Mid-Delta Health Systems, Inc.

NPI #1053938118 in De Witt, Arkansas

Provider Information

NPI Number
1053938118
Entity Type
Organization
Organization Name
Mid-Delta Health Systems, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
MID-DELTA HEALTH SYSTEMS, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 6, 2020
Last Updated
Jul 6, 2020

Practice Location

Address
1940 S WHITEHEAD DR
ZIP Code
72042-2906
Phone
(870) 946-4505

Authorized Official

Name
REBECCA BROADNAX
Title
AR/BILLING/CRED MANAGER
Phone
(870) 747-3381

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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