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Melinda Upshur

  • Female

Medical Specialty

Professional ID

  • NPI: 1518349950
  • PECOS ID: 2264748482
  • Enrollment ID: I20150903000294
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2015

Hospital Service

  • Hospital CCN1: 041328
  • Business Name (LBN)1: Chicot Memorial Medical Center
  • Hospital CCN2: 040051
  • Business Name (LBN)2: Drew Memorial Hospital

Medical Practices

  • Organization Name: Mainline Health Systems Inc
  • Group Practice ID assigned by PECOS: 5193785590
  • Number of Group Practice member: 22

Location

  • Address1: 300 S School St
  • Address2:
  • City: Dermott
  • State: Arkansas
  • Zip Code: 71638
  • Phone Number: (870)538-3355

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):