BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER NPI 1346378528

NPI Information

BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER is a rural health clinic center in Fordyce, AR. BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER NPI is 1346378528. The provider is registered as an organization entity type.
The provider Is Doing Business As Dallas County Medical Center Family Clinic.

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 Tamara K Rieves .
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 3/1/2007 and was last updated on 8/12/2016.

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:

Other Identifiers

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

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