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
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
AR4392
AR
275N00000X
Medicare Defined Swing Bed Hospital Unit
AR4396
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102081105
—
AR
01
—
11326
SWING BED UNIT
AR
Enumeration date
07/14/2006
Last updated
02/14/2013
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