DELTA MEMORIAL HOSPITAL
NPI 1083439012
Clinic/Center in Dumas, AR

Active since November 15, 2024CLIA 04D0465364 · Certificate of Compliance
103 W WATERMAN ST, DUMAS, AR 71639(870) 382-4303 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1083439012
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDELTA MEMORIAL HOSPITAL
Location Address103 W WATERMAN STDumas, AR 71639-2139
Mailing AddressPo Box 887Dumas, AR 71639-0887
Organization SubpartNo
Authorized OfficialSkye WellsCfo · (870) 382-4303
Enumeration DateNovember 15, 2024
NPPES CertifiedNovember 15, 2024
NPI 1083439012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
103 W WATERMAN ST, Dumas, AR 71639

Other Names 1

Other NameDelta Memorial Hospital Mat Clinic

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, AR
Active · expires May 16, 2027
CLIA Number04D0465364
Laboratory TypeHospital
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorDr. Julie J. Harris
Laboratory Phone(870) 382-8229
Laboratory LocationDelta Memorial Hospital811 Highway 65 S, Dumas, AR 71639
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
103 W WATERMAN ST
DUMAS, AR 71639
Family Medicine
103 W WATERMAN ST
DUMAS, AR 71639

Frequently 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.

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 21 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.