BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER (NPI# 1346378528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346378528 |
| Entity Type | Organization |
| Organization Name | BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER |
| Other Organization Name | DALLAS COUNTY MEDICAL CENTER FAMILY CLINIC |
| Practice Address |
201 North Clifton Street Fordyce AR 71742 |
| Practice Telephone | 8703526363 |
| Practice Fax Number | 8703526343 |
| Mailing Telephone | 8703526363 |
| Mailing Fax Number | 8703526343 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | TAMARA K RIEVES (ADMINISTRATOR / CEO) |
| Authorized Official Telephone | 8703526363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
AR4115 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 148217105 | 05 |
| Other Name | Type Code |
|---|---|
| Dallas County Medical Center Family Clinic | Doing Business As Name - Organization |
| 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 |
| 1275708885 | Board of Governors of Dallas County Medical Center | Medicare Defined Swing Bed Unit | 201 N Clifton St, Fordyce, AR 71742-3026 | 2008-04-24 |
| 1043308935 | Board of Governors of Dallas County Medical Center | Emergency Medicine | 201 North Clifton Street, Fordyce, AR 71742 | 2006-10-10 |
| Street Address |
201 NORTH CLIFTON STREET |
| City | FORDYCE |
| State | AR |
| Zip Code | 71742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306826029 | Board of Governors of Dallas County Medical Center | General Acute Care Hospital | 201 North Clifton Street, Fordyce, AR 71742 | 2006-01-19 |
| 1043308935 | Board of Governors of Dallas County Medical Center | Emergency Medicine | 201 North Clifton Street, Fordyce, AR 71742 | 2006-10-10 |
| 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 |
| 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 |
| 1326113689 | St. John's Place of Arkansas | Nursing Facility/Intermediate Care Facility | 815 Baxter St., Fordyce, AR 71742-1025 | 2006-11-22 |
| 1013087261 | Uhs of Benton, Inc. | Clinic/Center | 2400 W 4th St, Fordyce, AR 71742-1700 | 2006-11-08 |
| Find all providers in zip 71742 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| 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.