Organization
DARDANELLE REGIONAL, LLC
Active
Other names
Dardanelle Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY TALLEY (CONTROLLER)
(479) 229-4677
Entity
Organization
Contact information
Practice address
200 N 3RD ST, DARDANELLE, AR 72834-3802
(479) 229-4677
(479) 229-6162
Mailing address
200 N 3RD ST, DARDANELLE, AR 72834-3802
(479) 229-4677
(479) 229-6162
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
AR3750
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106601105
—
AR
05
—
109808002
—
AR
01
—
11302
ARKANSAS BC/BS ID
AR
Enumeration date
06/14/2005
Last updated
08/03/2023
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