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
1300 MCLAIN ST, NEWPORT, AR 72112-3634
(870) 495-1013
(870) 495-1014
Mailing address
PO BOX 19238, JONESBORO, AR 72403-6603
(870) 333-1230
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
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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