| Midsouth Health Systems | |
|
1500 W Main St Corning AR 72422-1932 | |
| (870) 573-3080 | |
| (870) 972-4911 |
| Full Name | Midsouth Health Systems |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1500 W Main St, Corning, Arkansas |
| Authorized Official Name and Position | Donnie Lyerly (CREDENTIALING) |
| Authorized Official Contact | 8709724939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midsouth Health Systems 2707 Browns Ln Jonesboro AR 72401-7213 Ph: (870) 972-4939 | Midsouth Health Systems 1500 W Main St Corning AR 72422-1932 Ph: (870) 573-3080 |
| NPI Number | 1003109232 |
|---|---|
| Provider Enumeration Date | 05/20/2011 |
| Last Update Date | 04/22/2022 |
| Certification Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003109232 | NPI | - | NPPES |
| 184176767 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Mid South Health Systems, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 David St, Corning, AR 72422 Phone: 870-857-3655 Fax: 870-972-4911 | |
Mid-south Health Systems, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 W Main St, Corning, AR 72422 Phone: 870-857-3080 Fax: 870-972-4911 | |
Northeast Arkansas Community Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 David St, Corning, AR 72422 Phone: 870-857-3655 |