Mid-delta Health Systems, Inc. Dental | |
245 Madison St Clarendon AR 72029-2706 | |
(870) 747-3381 | |
(870) 747-3631 |
Full Name | Mid-delta Health Systems, Inc. Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 245 Madison St, Clarendon, Arkansas |
Authorized Official Name and Position | Rebecca Broadnax (AR/BILLING/CRED MANAGER) |
Authorized Official Contact | 8707473381 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mid-delta Health Systems, Inc. Dental 245 Madison St Clarendon AR 72029-2706 Ph: (870) 747-3381 | Mid-delta Health Systems, Inc. Dental 245 Madison St Clarendon AR 72029-2706 Ph: (870) 747-3381 |
NPI Number | 1629287875 |
---|---|
Provider Enumeration Date | 05/22/2007 |
Last Update Date | 07/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629287875 | NPI | - | NPPES |
112903631 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (Arkansas) | Primary |
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