Organization
BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Active
Other names
Dallas County Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH E SANDERS (ADMINISTRATOR / CEO)
(870) 352-6363
Entity
Organization
Contact information
Practice address
201 NORTH CLIFTON STREET, FORDYCE, AR 71742
(870) 352-6363
(870) 352-6343
Mailing address
201 NORTH CLIFTON STREET, FORDYCE, AR 71742
(870) 352-6363
(870) 352-6343
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
AR4114
AR
282NC0060X
Critical Access Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11317
BCBS
AR
05
—
148217105
—
AR
Enumeration date
01/19/2006
Last updated
05/18/2017
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