| Organization Name: | DE QUEEN MEDICAL CENTER INC |
| NPI Number: | 1598922114 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN A MATHESON (CEO) |
| Mailing Address: | 1306 W Collin Raye Dr De Queen |
| State: | AR US |
| Postal Code: | 718322502 |
| Phone Number: | 8705840272 |
| Fax Number: | 8705844100 |
| NPI Enumeration Date: | 05/21/2008 |
| NPI Last Update Date: | 05/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 275N00000X |
| License Number: | AR4365 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Medicare Defined Swing Bed Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |