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CH062090 MID-DELTA HEALTH SYSTEMS INC (Active)
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Main Details
Name
MID-DELTA HEALTH SYSTEMS INC
Subdivision Name
Mid Delta Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010118
340B ID
CH062090
Grant Number
H80CS17147
Additional Details
Current Program Status
Active
Registration Date
8/14/2006
Participating Start Date
10/1/2006
Participating Approval Date
8/14/2006
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
245 Madison St
Clarendon, AR 72029-2706
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/14/2010 UPDATED GRANT NUMBER (WAS H80CS00503);
01/28/2011
April 2025
April 2025
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