Board of Governors of Dallas County Medical Center

NPI #1043308935 in Fordyce, Arkansas

Provider Information

NPI Number: 1043308935
Entity Type: Organization
Organization Name: Board of Governors of Dallas County Medical Center
Primary Specialty: Emergency Medicine - Emergency Medical Services
Enumeration Date: Oct 10, 2006
Last Updated: Aug 12, 2016

Practice Location

Address: 201 NORTH CLIFTON STREET
City: Fordyce
State: Arkansas
ZIP Code: 71742
Phone: (870) 352-6363

Authorized Official

Name: TAMARA K RIEVES
Title: ADMINISTRATOR / CEO
Phone: (870) 352-6363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X	Primary

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