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
916 SIDNEY ST, BATESVILLE, AR 72501-7017
(870) 612-0049
(870) 569-8117
Mailing address
PO BOX 19238, JONESBORO, AR 72403-6603
(870) 333-1230
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
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
12/14/2022
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