Organization
ASCENSION DEPAUL SERVICES
Active
Parent organization
ASCENSION DEPAUL SERVICES
Other names
DePaul Community Health Centers - Gould, St Elizabeth Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION DEPAUL SERVICES
Authorized official
LAURIE JAN STEPHENSON (DIRECTOR OF INTEGRATED SERVICES)
(870) 382-3080
Entity
Organization
Contact information
Practice address
407 SOUTH GOULD AVE, GOULD, AR 71643-0370
(870) 263-4317
(870) 263-4782
Mailing address
PO BOX 158, DUMAS, AR 71639-0158
(870) 382-3080
(870) 382-3085
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168848729
—
AR
Enumeration date
09/26/2006
Last updated
12/05/2019
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