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Organization
BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Active
Organization
BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Active
Other names
Dallas County Medical Center Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA K RIEVES (ADMINISTRATOR / CEO)
(870) 352-6363
Entity
Organization
Contact information
Practice address
201 NORTH CLIFTON STREET, FORDYCE, AR 71742
(870) 352-6363
(870) 352-6343
Mailing address
201 NORTH CLIFTON STREET, FORDYCE, AR 71742
(870) 352-6363
(870) 352-6343
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
AR4115
AR
Other
Enumeration date
03/01/2007
Last updated
08/12/2016
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