Dallas County Medical Center

LBN: Board Of Governors Of Dallas County Medical Center
Dallas County Medical Center 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 Hospitals / Critical Access, 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 Sanders, Kenneth E 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:
Map and Directions
Authorized official contact:
Name: Sanders, Kenneth E
Phone: (870) 352-6363

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X
Hospitals / Critical Access 282NC0060X AR4114 Arkansas

Profile Details

NPI number 1306826029
LBN Legal business name Board Of Governors Of Dallas County Medical Center
DBA Doing business as Dallas County Medical Center
Authorized official Sanders, Kenneth E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated May 18th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306826029 NPPES
Arkansas MEDICAID 148217105
Arkansas Other 11317

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