# DALLAS COUNTY HEALTH SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nutt Walley Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588473334
- **Authorized official:** DAN MANTZ (CEO)
- **Authorized official phone:** (870) 352-6363

## Contact information

- **Practice address:** 110 N CLIFTON ST, FORDYCE, AR 71742-3065
- **Practice address phone:** (870) 352-3525
- **Practice address fax:** (870) 352-3533
- **Mailing address:** 110 N CLIFTON ST, FORDYCE, AR 71742-3065
- **Mailing address phone:** (870) 352-3525
- **Mailing address fax:** (870) 352-3533

## Taxonomy

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

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 01/06/2025