# ASCENSION DEPAUL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASCENSION DEPAUL SERVICES
- **Other names:** DePaul Community Health Centers - Gould, St Elizabeth Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689775231
- **Legal business name:** ASCENSION DEPAUL SERVICES
- **Authorized official:** LAURIE JAN STEPHENSON (DIRECTOR OF INTEGRATED SERVICES)
- **Authorized official phone:** (870) 382-3080

## Contact information

- **Practice address:** 407 SOUTH GOULD AVE, GOULD, AR 71643-0370
- **Practice address phone:** (870) 263-4317
- **Practice address fax:** (870) 263-4782
- **Mailing address:** PO BOX 158, DUMAS, AR 71639-0158
- **Mailing address phone:** (870) 382-3080
- **Mailing address fax:** (870) 382-3085

## Taxonomy

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

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 12/05/2019