NPIMap

Organization Active NPI

Mid-Delta Health Systems, Inc.

Doing business as Lion Clinic

  • Federally Qualified Health Center (FQHC)
  • Clarendon, AR
National Provider Identifier
1679354468
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MID-DELTA HEALTH SYSTEMS, INC.
Doing business as
Lion Clinic
Practice address
1117 Eason Rd
Clarendon, AR 72029-2808
Phone
(870) 747-3381
Fax
(870) 747-3631
NPI assigned
Oct 9, 2023
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MID-DELTA HEALTH SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Monica Lindley
Title
Ceo
Phone
(870) 277-4326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1117 Eason Rd
Clarendon, AR 72029-2808

Mailing address

245 Madison St
Clarendon, AR 72029-2706
Phone (870) 747-1400

Other names 1

  • Lion Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040527000492 AR Part B Supplier - Clinic/Group Practice 3870574668 Receives reassigned benefits from 12 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clarendon, AR; Stuttgart, AR; De Witt, AR
O20231204001115 AR Part A Provider - Federally Qualified Health Center (FQHC) 3870574668 Practice locations: Clarendon, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679354468. Details of each certification follow.

Federally qualified health center certification: CCN 041044

Legal name
MID-DELTA HEALTH SYSTEMS INC
Doing business as
LION'S CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 29, 2023
Last certification
Nov 29, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 13, 1987 in AR
Enrollment address
1117 Eason Rd
Clarendon, AR 72029-2808

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Mid Delta Health System

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1117 Eason Rd
Clarendon, AR 72029
Phone (870) 201-2135

401 Midland St
Clarendon, AR 72029
Phone (870) 474-3381

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Katherine Bennett Individual Corporate OfficerCoo Oct 1, 2017
Ruby Ellis Individual Corporate DirectorBoard Member Jun 1, 2018
Elizabeth Davenport Individual Corporate DirectorBoard Member Jun 1, 2011
Rebecca Broadnax Individual W-2 Managing EmployeeAr/Billing Manager Oct 1, 2014
Alice Smith Individual Corporate DirectorBoard Member Jan 1, 2013
Raymond Abramson Individual Corporate DirectorBoard Member Jun 1, 1997
Mid-Delta Health Systems Inc Organization, Clarendon, AR Non-profit 5% Or Greater Direct Ownership Interest Oct 2, 2023 100%
Operational/Managerial Control Oct 2, 2023 100%
Johnny Lockley Individual Corporate DirectorBoard Member Jun 1, 2020
Venita Black Individual Corporate DirectorBoard Member Jun 1, 2018
Rick Glover Individual Corporate DirectorBoard Member Jun 1, 1999
Carlee Latham Individual Corporate DirectorBoard Member May 1, 2013
Monica Lindley Individual Corporate DirectorExecutive Director Jun 26, 2020 100%
W-2 Managing EmployeeExecutive Director Oct 1, 2019
Karen James Individual Corporate DirectorBoard Member Jul 21, 2011
Marco Middleton Individual Corporate DirectorBoard Member Jun 1, 2019

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Mid-Delta Health Systems Inc
    • Federally Qualified Health Center (FQHC)
    • Clarendon, AR
    • NPI 1255346060

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Mid-Delta Health Systems, Inc.

    dba Mid-Delta Health Systems - DeWitt

    • Federally Qualified Health Center (FQHC)
    • De Witt, AR
    • NPI 1053938118

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Mid-Delta Health Systems, Inc.

    dba Mid-Delta Health Systems - Stuttgart

    • Federally Qualified Health Center (FQHC)
    • Stuttgart, AR
    • NPI 1205551884

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mid-Delta Health Systems - DewittDewitt, AR, CCN 041969 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 26, 2020
Jun 26, 2020
Mid-Delta Health Systems-StuttgartStuttgart, AR, CCN 041024 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 16, 2022
Sep 16, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Mid-Delta Health Systems, Inc.

    dba Mid-Delta Health Systems - DeWitt

    • Federally Qualified Health Center (FQHC)
    • De Witt, AR
    • NPI 1053938118

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Mid-Delta Health Systems, Inc.

    dba Mid-Delta Health Systems - Stuttgart

    • Federally Qualified Health Center (FQHC)
    • Stuttgart, AR
    • NPI 1205551884

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1679354468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MADISON ST",
            "city": "CLARENDON",
            "state": "AR",
            "postal_code": "720292706",
            "telephone_number": "870-747-1400",
            "fax_number": "870-747-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 EASON RD",
            "city": "CLARENDON",
            "state": "AR",
            "postal_code": "720292808",
            "telephone_number": "870-747-3381",
            "fax_number": "870-747-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-DELTA HEALTH SYSTEMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-DELTA HEALTH SYSTEMS, INC.",
        "enumeration_date": "2023-10-09",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "LINDLEY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-277-4326"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarendon, AR

Sources for this page

Verify at the official NPI Registry.