Organization · Type 2 NPI
Mid-Delta Health Systems, Inc.
Federally Qualified Health Center (FQHC) · De Witt, AR
NPI number
1053938118
Active
Practice location
1940 S Whitehead Dr
De Witt, AR 72042-2906
Fax (870) 946-3357
Mailing address
245 Madison St
Clarendon, AR 72029-2706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
4 other providers at this address
- Tracy Family Practice Clinic PAPreferred Provider Organization De Witt, AR NPI 1659319150
- Laura Ann Hannum, APRNFamily Nurse Practitioner De Witt, AR NPI 1265102859
- Lori Ann Wilson, LPCProfessional Counselor De Witt, AR NPI 1699499111
- Wallace Lee Tracy, MDFamily Medicine Physician De Witt, AR NPI 1366438384
About NPI 1053938118
Mid-Delta Health Systems, Inc.'s National Provider Identifier is 1053938118, issued on Jul 6, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in De Witt, AR. The record was last updated on Mar 5, 2026.