NPIMap

Organization Active NPI

Delta Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Rogers, AR
National Provider Identifier
1346953247
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DELTA MEDICAL GROUP INC
Practice address
6028 W Stoney Brook Rd
Rogers, AR 72758-8100
Phone
(479) 268-5639
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kurt Folden
Title
Ceo
Phone
(870) 333-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6028 W Stoney Brook Rd
Rogers, AR 72758-8100

Mailing address

PO Box 19238
Jonesboro, AR 72403-6603
Phone (870) 333-1230

Other identifiers 1

IdentifierTypeStateIssuer
163732716MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL WWW.ARDELTAMEDICAL.COM

National Provider Directory

National Provider Directory
Tax ID family
Delta Medical Group Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1346953247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19238",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036603",
            "telephone_number": "870-333-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 W STONEY BROOK RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588100",
            "telephone_number": "479-268-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "FOLDEN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-333-1230"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163732716",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WWW.ARDELTAMEDICAL.COM",
            "affiliation": "N",
            "address_1": "6028 W Stoney Brook Rd",
            "city": "Rogers",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727588100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.