Organization
DELTA MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRIS BOLIN (CFO)
(870) 382-8126
Entity
Organization
Contact information
Practice address
811 HWY 65 SOUTH, DUMAS, AR 71639
(870) 382-4303
(870) 382-6555
Mailing address
811 HWY 65 SOUTH, DUMAS, AR 71639
(870) 382-4303
(870) 382-6555
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
AR4296
AR
282NC0060X
Critical Access Hospital
Primary
AR4392
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102081105
—
AR
01
—
11326
BLUE CROSS PROVIDER NUMBE
AR
Enumeration date
07/07/2006
Last updated
02/14/2013
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