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DARDANELLE COMMUNITY HOSPITAL LLC NPI 1457567380


NPI Information

NPI: 1457567380
Provider Name: DARDANELLE COMMUNITY HOSPITAL LLC

Doing Business As: RIVER VALLEY MEDICAL CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
200 NORTH THIRD STREET
DARDANELLE, AR
ZIP 72834
Phone: (479) 229-4677
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DARDANELLE COMMUNITY HOSPITAL LLC is a general practice in Dardanelle, AR. DARDANELLE COMMUNITY HOSPITAL LLC NPI is 1457567380. The provider is registered as an organization entity type.
The provider Is Doing Business As River Valley Medical Center.

The provider's business location address is:

200 NORTH THIRD STREET
DARDANELLE, AR
ZIP 72834
Phone: (479) 229-4677
Fax: (479) 229-6162

The provider's authorized official is Sondra Wear .
The authorized official title is Cfo and has the following contact phone number (479) 229-4677.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 12/15/2014.


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 AccessAR3750ARKANSASNo
2208D00000XGeneral Practice57673ARKANSASYes

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
157673MEDICARE ID-TYPE UNSPECIFIEDARKANSASER DOCTOR GROUP
257673MEDICARE PINARKANSAS

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: 11/14/2023

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