# ASCENSION DEPAUL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ascesnion DePaul Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225629819
- **Authorized official:** MICHAEL GRIFFIN (PRESIDENT/CEO)
- **Authorized official phone:** (504) 207-3060

## Contact information

- **Practice address:** 407 S GOULD AVE, GOULD, AR 71643-5041
- **Practice address phone:** (870) 263-4317
- **Mailing address:** PO BOX 158, DUMAS, AR 71639-0158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2021
- **Last updated:** 01/27/2021