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CH06209D MID-DELTA HEALTH SYSTEMS INC (Active)
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Main Details
Name
MID-DELTA HEALTH SYSTEMS INC
Subdivision Name
Lion's Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037417
340B ID
CH06209D
Grant Number
H80CS17147
Additional Details
Current Program Status
Active
Registration Date
1/16/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/7/2024
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
Mid-Delta Health Systems, Inc.
MONICA L LINDLEY, CEO
(870) 672-1527 Ext: 8706721527
Primary Contact
Mid Delta Health Systems Inc.
Katherine Michelle Bennett, Director of Admin Services
(870) 747-3058
Addresses
Street Address
1117 Eason Rd
Clarendon, AR 72029-2808
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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