DE QUEEN MEDICAL CENTER INC (NPI# 1609181783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609181783 |
| Entity Type | Organization |
| Organization Name | DE QUEEN MEDICAL CENTER INC |
| Other Organization Name | DE QUEEN MEDICAL CENTER HOME HEALTH |
| Practice Address |
1007 N 14th St De Queen AR 71832 |
| Mailing Address |
1306 W Collin Raye Dr De Queen AR 71832-2502 |
| Practice Telephone | 8705840277 |
| Practice Fax Number | 8705840278 |
| Mailing Telephone | 8705844111 |
| Mailing Fax Number | 8705844100 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | RYAN E CAPSHEW (CEO) |
| Authorized Official Telephone | 8705844111 |
| Is Organization Subpart | Y |
| Parent Organization Name | DE QUEEN MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | AR5043 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 191767514 | 05 |
| Other Name | Type Code |
|---|---|
| De Queen Medical Center Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184612194 | De Queen Medical Center Inc | General Acute Care Hospital | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2005-10-12 |
| 1598922114 | De Queen Medical Center Inc | Medicare Defined Swing Bed Unit | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2008-05-21 |
| 1326205949 | De Queen Medical Center Inc | Rehabilitation Unit | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2008-05-21 |
| 1194852715 | De Queen Medical Center Inc | Radiology | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2007-02-28 |
| 1154423523 | De Queen Medical Center Inc | General Acute Care Hospital | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2006-09-05 |
| Street Address |
1007 N 14TH ST |
| City | DE QUEEN |
| State | AR |
| Zip Code | 71832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487149985 | Healthcare Express, LLP | Clinic/Center | 1021 W. Collin Raye Dr., Dequeen, AR 71832 | 2018-06-27 |
| 1982963781 | Callie Montana Miller | Specialist/Technologist | 194 Choctaw Trail, Dequeen, AR 71832 | 2012-05-14 |
| 1023376589 | Dequeen Medical Center | Rehabilitation Hospital | 1306 W Collin Dr., Dequeen, AR 71832 | 2012-05-02 |
| 1083971428 | Renee Logan | Pharmacist | 205 W De Queen Ave., De Queen, AR 71832 | 2012-04-23 |
| 1538434295 | Angela Kay Martin | Nurse Practitioner | 1302 W. Collin Raye Dr., Suite A, Dequeen, AR 71832 | 2012-03-14 |
| 1386950624 | Charles Norman Alston IIi | Dentist | 110 W. De Queen Avenue, De Queen, AR 71832 | 2010-08-24 |
| 1821301466 | Claire Terece Russell | Nurse Practitioner | 500 E. Collin Raye Dr, Dequeen, AR 71832 | 2010-07-25 |
| 1043445455 | Smiles of Arkansas Dental Center, Pllc | Dentist | 110 West Dequeen Avenue, Suite B, Dequeen, AR 71832 | 2009-05-29 |
| 1538319496 | Kerri Allison Ross | Speech-Language Pathologist | 122 Crestwood Dr., Dequeen, AR 71832 | 2008-09-26 |
| 1891943320 | Suzanne Greene | Physical Therapist | 320 Collin Raye Drive, 109 Town North Professional Bldg, Dequeen, AR 71832 | 2008-09-09 |
| Find all providers in zip 71832 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427068576 | State of Arkansas | Home Health | 304 N 4th St, Sevier County Health Unit, De Queen, AR 71832-2829 | 2006-08-09 |
| 1093742066 | Amedisys Arkansas, L.L.C. | Home Health | 307 W Stillwell Ave, De Queen, AR 71832-2860 | 2006-06-27 |
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|---|---|---|---|---|
| 1528670130 | Home Health Care Agency of Arkansas, LLC | Home Health | 1200 John Barrow Road Suite #111, Little Rock, AR 72205-6528 | 2020-08-17 |
| 1316557127 | Voices of Healthcare | Home Health | 3700 S Caraway Rd Apt K07, Jonesboro, AR 72404-9537 | 2020-08-06 |
| 1093325334 | Clararose Home Care | Home Health | 802 Parrish St, Jacksonville, AR 72076-2720 | 2020-08-02 |
| 1447876024 | Jabez Community Resource Center | Home Health | 2910 Dickson St, West Memphis, AR 72301-3638 | 2020-06-19 |
| 1912521295 | Thrive Pediatric Nursing Inc | Home Health | 808 Reservoir Rd Ste A, Little Rock, AR 72227-5729 | 2020-06-03 |
| 1124651153 | Lareco Walker Sr. | Home Health | 1907 Hwy 5 N Apt 1010, Benton, AR 72019-6733 | 2020-02-18 |
| 1518500495 | Quality Senior Care, Inc. | Home Health | 17724 I 30 Ste 5, Benton, AR 72019-2961 | 2019-10-23 |
| 1659912376 | Diamond Personal Care, Ll | Home Health | 25 Macarthur Dr, Conway, AR 72032-4510 | 2019-10-03 |
| 1427607837 | Leyia Staffing Agency LLC | Home Health | 309 N 6th St Ste 3, West Memphis, AR 72301-3294 | 2019-09-09 |
| 1497317820 | 1 To 1 Home Care Services | Home Health | 1200 Westpark Dr Ste 202, Little Rock, AR 72204-2487 | 2019-07-06 |
| 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.