Organization
DE QUEEN MEDICAL CENTER INC
Active
Parent organization
DE QUEEN MEDICAL CENTER INC
Other names
De Queen Medical Center Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
DE QUEEN MEDICAL CENTER INC
Authorized official
RYAN E CAPSHEW (CEO)
(870) 584-4111
Entity
Organization
Contact information
Practice address
1007 N 14TH ST, DE QUEEN, AR 71832
(870) 584-0277
(870) 584-0278
Mailing address
1306 W COLLIN RAYE DR, DE QUEEN, AR 71832-2502
(870) 584-4111
(870) 584-4100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR5043
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191767514
—
AR
Enumeration date
08/12/2010
Last updated
08/27/2018
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