DELTA MEMORIAL HOSPITAL
NPI 1083439012
Clinic/Center in Dumas, AR
About Delta Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DELTA MEMORIAL HOSPITAL (NPI 1083439012) is a healthcare organization registered as a clinic/center in Dumas, Arkansas and active in the NPI registry since November 2024. The organization holds a CLIA Certificate of Compliance certificate valid through May 16, 2027 and lists Skye Wells, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Delta Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Delta Memorial Hospital, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 04D0465364
Delta Memorial Hospital · Dumas, ARFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Delta Memorial Hospital's NPI number?
The NPI number for Delta Memorial Hospital is 1083439012. It was assigned to this organization in the NPPES registry on November 15, 2024. The provider is also known as Delta Memorial Hospital MAT Clinic.
Where is Delta Memorial Hospital located?
Delta Memorial Hospital is located at 103 W Waterman St, Dumas, AR 71639. The listed phone number is (870) 382-4303.
What is Delta Memorial Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Delta Memorial Hospital enrolled in Medicare?
Yes. Delta Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Delta Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Delta Memorial Hospital, in Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Delta Memorial Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 04D0465364) is associated with this NPI, valid through May 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Delta Memorial Hospital was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Delta Memorial Hospital · NPI 1083439012
Clinic/Center organization in Dumas, Arkansas. Organization record, active in the CMS NPPES registry since November 15, 2024.
## Identity
- **NPI:** 1083439012 (Entity type: Organization)
- **Enumerated:** November 15, 2024
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Delta Memorial Hospital MAT Clinic (Other Name)
- **Organization subpart:** No
- **Authorized official:** Skye Wells, CFO
## Practice location
- **Address:** 103 W WATERMAN ST, Dumas, AR 71639-2139
- **Phone:** (870) 382-4303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Clinical Social Worker (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083439012) · Data from the CMS NPPES public registry.