# BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dallas County Medical Center ER Physicians Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043308935
- **Authorized official:** TAMARA K RIEVES (ADMINISTRATOR / CEO)
- **Authorized official phone:** (870) 352-6363

## Contact information

- **Practice address:** 201 NORTH CLIFTON STREET, FORDYCE, AR 71742
- **Practice address phone:** (870) 352-6363
- **Practice address fax:** (870) 352-6343
- **Mailing address:** 201 NORTH CLIFTON STREET, FORDYCE, AR 71742
- **Mailing address phone:** (870) 352-6363
- **Mailing address fax:** (870) 352-6343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | AR4114 | AR | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 08/12/2016