# DE QUEEN MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DE QUEEN MEDICAL CENTER INC
- **Other names:** De Queen Medical Center Home Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609181783
- **Legal business name:** DE QUEEN MEDICAL CENTER INC
- **Authorized official:** RYAN E CAPSHEW (CEO)
- **Authorized official phone:** (870) 584-4111

## Contact information

- **Practice address:** 1007 N 14TH ST, DE QUEEN, AR 71832
- **Practice address phone:** (870) 584-0277
- **Practice address fax:** (870) 584-0278
- **Mailing address:** 1306 W COLLIN RAYE DR, DE QUEEN, AR 71832-2502
- **Mailing address phone:** (870) 584-4111
- **Mailing address fax:** (870) 584-4100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | AR5043 | AR | Yes |

## Other

- **Enumeration date:** 08/12/2010
- **Last updated:** 08/27/2018