# MENA HOSPITAL COMMISSION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mena Regional Health System
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003473463
- **Authorized official:** JAY J QUEBEDEAUX (CEO)
- **Authorized official phone:** (479) 243-2237

## Contact information

- **Practice address:** 1103 COLLEGE DR, MENA, AR 71953-2519
- **Practice address phone:** (479) 394-1414
- **Practice address fax:** (877) 775-6761
- **Mailing address:** 311 MORROW ST N, MENA, AR 71953-2516
- **Mailing address phone:** (479) 243-2130
- **Mailing address fax:** (479) 394-4577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 05/21/2019
- **Last updated:** 05/21/2019