Organization
DIXIE HEALTH CARE, INC
Active
Other names
Dixie Health Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA L THOMAS (OWNER)
(870) 763-7322
Entity
Organization
Contact information
Practice address
839 E MAIN ST, BLYTHEVILLE, AR 72315-2521
(870) 763-7322
(870) 763-7420
Mailing address
839 E MAIN ST, BLYTHEVILLE, AR 72315-2521
(870) 763-7322
(870) 763-7420
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103495716
—
AR
01
—
49201
BLUE CROSS BLUE SHIELD
AR
05
—
621155506
—
MO
Enumeration date
11/28/2006
Last updated
10/29/2024
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