NPIMap

Mid-Delta Health Systems Inc

A Medicare group practice based in Clarendon, AR: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 3870574668), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3870574668The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
AR
Enrollments
5
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040527000492 AR Part B Supplier - Clinic/Group Practice 1255346060
O20080606000419 AR Part A Provider - Federally Qualified Health Center (FQHC) 1255346060
O20200807000766 AR Part A Provider - Federally Qualified Health Center (FQHC) 1053938118
O20231204001115 AR Part A Provider - Federally Qualified Health Center (FQHC) 1679354468
O20230329001684 AR Part A Provider - Federally Qualified Health Center (FQHC) 1205551884

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (11).

Sources for this page