De Queen Medical Center Inc

LBN: De Queen Medical Center Inc
De Queen Medical Center Inc is an health care organization with primary practice located at 1306 W Collin Raye Dr , De Queen AR 71832-2502. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. De Queen Medical Center Inc can be contacted via phone (870) 584-0272, or through Matheson, John A. via phone (870) 584-0272.

Contact Information

Primary practice address
1306 W Collin Raye Dr De Queen AR 71832-2502
Phone: (870) 584-0272
Fax: (870) 584-4100
Website:
Map and Directions
Authorized official contact:
Name: Matheson, John A.
Phone: (870) 584-0272

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X AR4365 Arkansas

Profile Details

NPI number 1194852715
LBN Legal business name De Queen Medical Center Inc
DBA Doing business as
Authorized official Matheson, John A.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated May 5th, 2010 - about 14 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 1194852715 NPPES
Arkansas Other 5F418 BLUE CROSS
Arkansas MEDICAID 200064800A BLUE CROSS
Arkansas MEDICAID 157501002 BLUE CROSS

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