Delta Medical Group Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Newport, AR
NPI 1831830637 · NPPES record last updated Dec 14, 2022
Key facts
- NPI
- 1831830637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- DELTA MEDICAL GROUP INC
- Practice address
- 1300 McLain St
Newport, AR 72112-3634 - Phone
- (870) 495-1013
- Fax
- (870) 495-1014
- NPI assigned
- Apr 5, 2022
- Organization subpart
- No
Authorized official
- Name
- Kurt Folden
- Title
- Ceo
- Phone
- (870) 333-1230
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 6
Member organizations 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Delta Medical |
Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimulators (NMES)/Supplies|Support Surfaces: … | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230215003035 | AR | DME Supplier - Medical Supply Company With Respiratory Therapist |
7911101290 | Practice locations: Newport, AR |
National Provider Directory
- Tax ID family
- Delta Medical Group Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1300 McLain St
Newport, AR 72112-3634
Mailing address
PO Box 19238
Jonesboro, AR 72403-6603
Phone (870) 333-1230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163732716 | Medicaid | AR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | newport | Direct |
Other providers in Newport, AR
- Custom Eyes Vision Care of Newport, Inc
- James Darling
- Amber Davis
- Christopher Davis
- Mary Kathryn Davis
- Nakyra Dicus
- Diversicare Pinedale, LLC
- Doctors Health Group, Inc
- Jennifer L Dorris
- Brandy Douglas
All providers in Newport, AR · Durable Medical Equipment & Medical Supplies in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.