Organization Name: | DELTA MEMORIAL HOSPITAL |
NPI Number: | 1295767689 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRIS BOLIN (CFO) |
Mailing Address: | 811 Hwy 65 South Dumas |
State: | AR US |
Postal Code: | 71639 |
Phone Number: | 8703824303 |
Fax Number: | 8703826555 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 02/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | AR4296 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |