Organization
DELTA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT FOLDEN (CEO)
(870) 333-1230
Entity
Organization
Contact information
Practice address
6028 W STONEY BROOK RD, ROGERS, AR 72758-8100
(479) 268-5639
Mailing address
PO BOX 19238, JONESBORO, AR 72403-6603
(870) 333-1230
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163732716
—
AR
Enumeration date
01/05/2023
Last updated
01/05/2023
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