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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251J00000X | Nursing Care | AR | Agencies | |
Y | 251E00000X | Home Health | AR4115 | AR | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | BCBS | 17169 | 01 |
AR | 148415514 | 05 |
Other Name | Type Code |
---|---|
Elite Home Health | Doing Business As Name - Organization |
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 |
Street Address |
310 W COLLEGE |
City | FORDYCE |
State | AR |
Zip Code | 71742-2230 |
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 | 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 |
---|---|---|---|---|
1548270689 | State of Arkansas | Home Health | 201 North Spring Street, Dallas County Health Unit, Fordyce, AR 71742-3026 | 2006-08-09 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER.
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.