Organization Name: | DARDANELLE COMMUNITY HOSPITAL LLC |
NPI Number: | 1235344409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SONDRA D WEAR (CFO) |
Mailing Address: | 200 North Third Street Dardanelle |
State: | AR US |
Postal Code: | 72834 |
Phone Number: | 4792294677 |
Fax Number: | 4792296162 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 10/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | AR3750 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |