Organization Name: | DE QUEEN MEDICAL CENTER INC |
NPI Number: | 1154423523 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA A. HOUSE (ADMINISTRATOR) |
Mailing Address: | 1306 W Collin Raye Dr De Queen |
State: | AR US |
Postal Code: | 718322502 |
Phone Number: | 8705840272 |
Fax Number: | 8705844100 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 04/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | AR4365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |