MID-DELTA HEALTH SYSTEMS INC
NPI 1255346060
Clinic/Center - Federally Qualified Health Center (FQHC) in Clarendon, AR
NPI Status: Active since July 30, 2006
Contact Information
245 MADISON ST
CLARENDON, AR
ZIP 72029
Phone: (870) 747-3381
Fax: (870) 747-3631
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 04D0698477
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 08-31-2026
About MID-DELTA HEALTH SYSTEMS INC
This page provides the complete NPI Profile along with additional information for Mid-delta Health Systems Inc, a primary care provider established in Clarendon, Arkansas operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1255346060 assigned on July 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Rebecca Broadnax (Ar/billing/cred Manager)
- NPI
- 1255346060
- Provider Name
- MID-DELTA HEALTH SYSTEMS INC
- Entity Type
- Organization
- Location Address
- 245 MADISON ST CLARENDON, AR 72029
- Location Phone
- (870) 747-3381
- Location Fax
- (870) 747-3631
- Mailing Address
- 245 MADISON ST CLARENDON, AR 72029
- Mailing Phone
- (870) 747-3381
- Mailing Fax
- (870) 747-3631
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-30-2006
- Last Update Date
- 07-06-2020
- Code Navigator
A primary care provider (PCP) like Mid-delta Health Systems Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Bronze Exp Standardized - PPO
- Bronze Value - PPO
- Gold Standardized - PPO
- Silver AH - PPO
- Silver Standardized - PPO
- Silver Value - PPO
- Dental Gold - PPO
- Dental Gold Plus Vision - PPO
- Dental Pediatric - PPO
- Dental Platinum - PPO
- Dental Platinum Plus Vision - PPO
- Dental Platinum Premium - PPO
- Dental Platinum Premium Plus Vision - PPO
- Dental Silver - PPO
- HA Bronze Exp Standardized - POS
- HA Bronze Suitcase - POS
- HA Gold Standardized - POS
- HA Silver AH - POS
- HA Silver Premier Suitcase - POS
- HA Silver Standardized - POS
- Octave Bronze Exp Standardized - POS
- Octave Bronze Value - POS
- Octave Gold Standardized - POS
- Octave Silver AH - POS
- Octave Silver Classic Suitcase - POS
- Octave Silver Standardized - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 57079 | OTHER (01) | AR | BCBS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D0698477
- Facility Type
- Community Clinic
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- CHRISTOPHER HOPKINSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mid-delta Health Systems Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 4 | 6 | 0 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 4 | 12 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 4 + 1 + 2 + 0 + 1 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1255346060 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871537084 | DR. RICHARD ROYCE WILSON M.D. Individual | Family Medicine | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1245379528 | CURTIS ANDREW SCHALCHLIN M.D. Individual | General Practice | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1811174238 | DR. SAM A. MCGUIRE III M.D. Individual | Family Medicine | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1164897823 | MRS. ASHLEY LANIECE LOFTIS PA-C Individual | Physician Assistant (Medical) | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3008 |
| 1497249031 | THOMAS P PATTEN DDS Individual | Dentist (General Practice) | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1689940132 | ARPIT R PATEL M.D. Individual | Family Medicine | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1306297965 | ASHLEE VANHOUTEN APRN Individual | Nurse Practitioner | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1629287875 | MID-DELTA HEALTH SYSTEMS, INC Organization | Clinic/Center (Dental) | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1194293928 | CHRISTOPHER P. HOPKINSON MD Individual | Family Medicine | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1457956625 | MRS. SUMMER N PATTON RDN, LDN Individual | Dietitian, Registered | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1841969169 | MID-DELTA HEALTH SYSTEMS INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1629376173 | TIFFANY N MCPHERSON BS, MHPP, LCSW Individual | Social Worker (Clinical) | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1053544015 | LEIGH ANN GUEST APN, GNP Individual | Nurse Practitioner | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1649320607 | DR. JENNIFER JOHNSON KELLY M.D. Individual | Pediatrics | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1326865635 | SKYLAR ASPEN VANDERBURG CNP Individual | Nurse Practitioner | 245 MADISON ST CLARENDON, AR 72029 (870) 747-3381 |
| 1982492153 | EARNESTINE ANNETTE ARTIS Individual | Community Health Worker | 245 MADISON ST CLARENDON, AR 72029 (479) 396-4104 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255346060, enumerated in the NPI registry as an "organization" on July 30, 2006
The provider is located at 245 Madison St Clarendon, Ar 72029 and the phone number is (870) 747-3381
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 04D0698477 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on July 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.