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BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER NPI 1306826029


NPI Information

NPI: 1306826029
Provider Name: BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER

Doing Business As: DALLAS COUNTY MEDICAL CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
201 NORTH CLIFTON STREET
FORDYCE, AR
ZIP 71742
Phone: (870) 352-6363
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BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER is a critical access general acute care hospital in Fordyce, AR. BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER NPI is 1306826029. The provider is registered as an organization entity type.
The provider Is Doing Business As Dallas County Medical Center.

The provider's business location address is:

201 NORTH CLIFTON STREET
FORDYCE, AR
ZIP 71742
Phone: (870) 352-6363
Fax: (870) 352-6343

The provider's authorized official is Kenneth E Sanders .
The authorized official title is Administrator / Ceo and has the following contact phone number (870) 352-6363.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 5/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282NC0060XGeneral Acute Care HospitalCritical AccessNo
2282NC0060XGeneral Acute Care HospitalCritical AccessAR4114ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111317OTHERARKANSASBCBS
2148217105MEDICAIDARKANSAS
3041317MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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