BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER (NPI# 1275708885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275708885 |
| Entity Type | Organization |
| Organization Name | BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER |
| Practice Address |
201 N Clifton St Fordyce AR 71742-3026 |
| Practice Telephone | 8703526363 |
| Mailing Telephone | 8703526363 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2017-05-18 |
| Authorized Official Name | KENNETH E SANDERS (ADMINISTRATION / CEO) |
| Authorized Official Telephone | 8703526363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 1Z317 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952499840 | Board of Governors of Dallas County Medical Center | Nursing Care | 310 W College, Fordyce, AR 71742-2230 | 2006-10-10 |
| 1306826029 | Board of Governors of Dallas County Medical Center | General Acute Care Hospital | 201 North Clifton Street, Fordyce, AR 71742 | 2006-01-19 |
| 1508364241 | Board of Governors of Dallas County Medical Center | Family Medicine | 110 N Clifton St, Fordyce, AR 71742-3025 | 2018-01-29 |
| 1346378528 | Board of Governors of Dallas County Medical Center | Clinic/Center | 201 North Clifton Street, Fordyce, AR 71742 | 2007-03-01 |
| 1043308935 | Board of Governors of Dallas County Medical Center | Emergency Medicine | 201 North Clifton Street, Fordyce, AR 71742 | 2006-10-10 |
| Street Address |
201 N CLIFTON ST |
| City | FORDYCE |
| State | AR |
| Zip Code | 71742-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295759629 | Christal Martindale | Nurse Practitioner | 201 N Clifton St, Fordyce, AR 71742-3026 | 2006-07-27 |
| 1982215281 | Leslie Marie Cates | Physical Therapy Assistant | 201 N Clifton St, Fordyce, AR 71742-3026 | 2020-08-11 |
| 1275072779 | Rodney Mark Dixon Md Pa | Family Medicine | 201 N Clifton St, Fordyce, AR 71742-3026 | 2017-02-16 |
| 1316497464 | Hospital Care Consultants of Fordyce LLC | Internal Medicine | 201 N Clifton St, Fordyce, AR 71742-3026 | 2016-10-12 |
| 1821547977 | Ess of Fordyce LLC | Emergency Medicine | 201 N Clifton St, Fordyce, AR 71742-3026 | 2016-09-30 |
| 1700299138 | Christopher Mcdaniel | Emergency Medicine | 201 N Clifton St, Fordyce, AR 71742-3026 | 2014-06-03 |
| 1083983589 | Pioneer Health Services, Inc. | Psychiatry & Neurology | 201 N Clifton St, Fordyce, AR 71742-3026 | 2011-12-29 |
| 1790083053 | Elizabeth Jean Coates | Dietitian, Registered | 201 N Clifton St, Fordyce, AR 71742-3026 | 2011-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699946723 | Harry R. Denison, P.a. | Durable Medical Equipment & Medical Supplies | 312 Spring St., Fordyce, AR 71742 | 2008-03-17 |
| 1154541878 | St.john's Place of Arkansas, LLC | Skilled Nursing Facility | 815 Baxter St, Fordyce, AR 71742 | 2007-04-26 |
| 1952482036 | Habilitation Center, LLC | Intermediate Care Facility, Mentally Retarded | 1828 Industrial Dr, Fordyce, AR 71742 | 2006-10-17 |
| 1669423810 | Warmack Pharmacies Inc | Pharmacy | 802 W 4th St, Fordyce, AR 71742 | 2006-05-12 |
| 1306826029 | Board of Governors of Dallas County Medical Center | General Acute Care Hospital | 201 North Clifton Street, Fordyce, AR 71742 | 2006-01-19 |
| 1063013365 | Derek White | Pharmacist | Walmart Pharmacy, 1123 Highway 79-167 Bypass, Fordyce, AR 71742 | 2020-11-03 |
| 1962983395 | Warmack Pharmacies Inc | Pharmacy | 802 W 4th St, Fordyce, AR 71742 | 2018-08-23 |
| 1902178619 | Bhc Pinnacle Pointe Hospital, Inc. | Clinic/Center | 300 N Clifton St, Fordyce, AR 71742 | 2012-01-27 |
| 1134259443 | Lesley Self Ford | Counselor | 300 N Clifton St, Fordyce, AR 71742 | 2007-03-06 |
| 1346378528 | Board of Governors of Dallas County Medical Center | Clinic/Center | 201 North Clifton Street, Fordyce, AR 71742 | 2007-03-01 |
| Find all providers in zip 71742 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932395969 | City of Pocahontas Ar | Medicare Defined Swing Bed Unit | 2801 Medical Center Drive, Pocahontas, AR 72455-9436 | 2007-09-24 |
| 1992865513 | Ozark Health, Inc | Medicare Defined Swing Bed Unit | 2500 Hwy 65 South, Clinton, AR 72031 | 2006-12-12 |
| 1598842643 | Booneville Community Hospital, Inc | Medicare Defined Swing Bed Unit | 880 West Main, Booneville, AR 72927-0290 | 2006-11-01 |
| 1609811827 | Baptist Health | Medicare Defined Swing Bed Unit | 1800 Bypass Road, Heber Springs, AR 72543 | 2006-06-19 |
| 1881635993 | Izard County Medical Center, LLC | Medicare Defined Swing Bed Unit | 61 Grasse St, Calico Rock, AR 72519-0438 | 2006-06-09 |
| 1902862915 | White River Health System, Inc | Medicare Defined Swing Bed Unit | 2106 E. Main St., Mountain View, AR 72560-6439 | 2006-04-26 |
| 1093336026 | Magnolia Regional Health System Inc | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2020-04-30 |
| 1538796651 | Eureka Springs Hospital Commission | Medicare Defined Swing Bed Unit | 24 Norris St, Eureka Springs, AR 72632-3541 | 2020-03-26 |
| 1407369390 | Siloam Springs Arkansas Hospital Company LLC | Medicare Defined Swing Bed Unit | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2017-11-14 |
| 1649724261 | Baptist Health | Medicare Defined Swing Bed Unit | 1001 Schneider Dr, Malvern, AR 72104-4811 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.