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
401 HIGHWAY 5 N, MOUNTAIN HOME, AR 72653-3036
(870) 656-4140
(870) 701-5095
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
04/05/2022
Last updated
04/05/2022
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