MID-DELTA HEALTH SYSTEMS INC NPI 1841969169

Clinic/Center (Federally Qualified Health Center (FQHC)) in Clarendon, AR

NPI 1841969169 Organization Clinic/Center Federally Qualified Health Center (FQHC)

About MID-DELTA HEALTH SYSTEMS INC

Mid-delta Health Systems Inc is a primary care provider established in Clarendon, Arkansas specializing in clinic/center (federally qualified health center (fqhc)) . The NPI number of Mid-delta Health Systems Inc is 1841969169 and was assigned on September 2021. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated September 2021. The authorized official of this NPI record is Rebecca Broadnax (Accounts Rec Coordinator)

A primary care provider (PCP) like Mid-delta Health Systems Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1841969169

Provider NameMID-DELTA HEALTH SYSTEMS INC
Provider Location Address245 MADISON ST CLARENDON, AR 72029
Provider Mailing Address245 MADISON ST CLARENDON, AR 72029
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date09-09-2021
Last Update Date09-09-2021


Primary Taxonomy

Taxonomy Code261QF0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)

Business Address

MID-DELTA HEALTH SYSTEMS INC
245 MADISON ST
CLARENDON, AR
ZIP 72029
Phone: (870) 747-3381
Fax: (870) 747-3631

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Mailing Address

MID-DELTA HEALTH SYSTEMS INC
245 MADISON ST
CLARENDON, AR
ZIP 72029
Phone: (870) 747-3381
Fax: (870) 747-3631



Authorized Official

Authorized Official Name REBECCA BROADNAX
Authorized Official TitleACCOUNTS REC COORDINATOR
Authorized Official Phone(870) 747-3381

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871537084DR. RICHARD ROYCE WILSON M.D.
Individual
Family Medicine245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1245379528 CURTIS ANDREW SCHALCHLIN M.D.
Individual
General Practice245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1811174238DR. SAM A. MCGUIRE III M.D.
Individual
Family Medicine245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1548492945MRS. ERICA 'COURTNEY' MOSS ANP
Individual
Nurse Practitioner (Family)245 MADISON ST
CLARENDON, AR 72029
(870) 747-3811
1164897823MRS. ASHLEY LANIECE LOFTIS PA-C
Individual
Physician Assistant (Medical)245 MADISON ST
CLARENDON, AR 72029
(870) 747-3008
1497249031 THOMAS P PATTEN DDS
Individual
Dentist (General Practice)245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1649320607DR. JENNIFER JOHNSON KELLY M.D.
Individual
Pediatrics245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1689940132 ARPIT R PATEL M.D.
Individual
Family Medicine245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1306297965 ASHLEE VANHOUTEN APRN
Individual
Nurse Practitioner245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1255346060MID-DELTA HEALTH SYSTEMS INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1629287875MID-DELTA HEALTH SYSTEMS, INC
Organization
Clinic/Center (Dental)245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1194293928 CHRISTOPHER P. HOPKINSON MD
Individual
Family Medicine245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1457956625MRS. SUMMER N PATTON RDN, LDN
Individual
Dietitian, Registered245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.