BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER


Address: 310 W College, Fordyce, AR 71742-2230
Phone: 8703526363

BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER (NPI# 1952499840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952499840
Entity Type Organization
Organization Name BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Other Organization Name ELITE HOME HEALTH
Practice Address 310 W College
Fordyce
AR 71742-2230
Mailing Address Po Box 51266
Lafayette
LA 70505-1266
Practice Telephone 8703526363
Practice Fax Number 8703526343
Mailing Telephone 3372331307
Mailing Fax Number 3372335764
Enumeration Date 2006-10-10
Last Update Date 2017-10-17
Authorized Official Name KENNETH E SANDERS (ADMINISTRATOR / CEO)
Authorized Official Telephone 8703526363
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251J00000X Nursing Care AR Agencies
Y 251E00000X Home Health AR4115 AR Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AR BCBS 17169 01
AR 148415514 05

Other Provider/Organization Names

Other Name Type Code
Elite Home Health Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
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

Office Location

Street Address 310 W COLLEGE
City FORDYCE
State AR
Zip Code 71742-2230

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548270689 State of Arkansas Home Health 201 North Spring Street, Dallas County Health Unit, Fordyce, AR 71742-3026 2006-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

Search similar providers

City FORDYCE
Zip Code 71742

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Dataset Information

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.

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