| Mid South Health Systems, Inc. | |
|
1011 W Morgan St Paragould AR 72450-2850 | |
| (870) 239-2244 | |
| (870) 972-4911 |
| Full Name | Mid South Health Systems, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1011 W Morgan St, Paragould, Arkansas |
| Authorized Official Name and Position | Donnie Lyerly (PROVIDER CEDENTIALING) |
| Authorized Official Contact | 8709724939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid South Health Systems, Inc. 2707 Browns Ln Jonesboro AR 72401-7213 Ph: (870) 972-4939 | Mid South Health Systems, Inc. 1011 W Morgan St Paragould AR 72450-2850 Ph: (870) 239-2244 |
| NPI Number | 1275784746 |
|---|---|
| Provider Enumeration Date | 10/02/2008 |
| Last Update Date | 04/22/2022 |
| Certification Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275784746 | NPI | - | NPPES |
| 172111526 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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