Dallas County Medical Center Er Physicians Group
LBN: Board Of Governors Of Dallas County Medical Center
Dallas County Medical Center Er Physicians Group is an health care organization with primary practice located at 201 North Clifton Street , Fordyce AR 71742. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as the primary health care specialty.
Board Of Governors Of Dallas County Medical Center can be contacted via phone (870) 352-6363, or through Rieves, Tamara K via phone (870) 352-6363.
Contact Information
Primary practice address
201 North Clifton Street
Fordyce AR 71742
Phone: (870) 352-6363
Fax: (870) 352-6343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | ||
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | AR4114 | Arkansas |
Profile Details
| NPI number | 1043308935 |
|---|---|
| LBN Legal business name | Board Of Governors Of Dallas County Medical Center |
| DBA Doing business as | Dallas County Medical Center Er Physicians Group |
| Authorized official | Rieves, Tamara K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Aug 12th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043308935 | NPPES |
| Arkansas | MEDICAID | 148414002 | |
| Arkansas | Other | 5C703 |
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