Dequeen Medical Center

Primary specialty

Children's Rehabilitation HospitalTaxonomy code 283XC2000X

License

PTA 2475 Issued in AR

Legal business name

DEQUEEN MEDICAL CENTER

Practice address

1306 W Collin Dr.
Dequeen, AR 71832

Phone

(870) 642-4990

NPI assigned

May 2, 2012

Last updated

May 2, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melanie Coplen

Title

Physical Therapist

Phone

(870) 451-1132

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1023376589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 W COLLIN DR.",
            "city": "DEQUEEN",
            "state": "AR",
            "postal_code": "71832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W COLLIN DR.",
            "city": "DEQUEEN",
            "state": "AR",
            "postal_code": "71832",
            "telephone_number": "870-642-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEQUEEN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "COPLEN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "870-451-1132"
    },
    "taxonomies": [
        {
            "code": "283XC2000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital, Children",
            "state": "AR",
            "license": "PTA 2475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De Queen Medical Center Inc (De Queen Medical Center Home Health)
• De Queen Medical Center, Inc
• De Queen Pediatrics Inc
• De Queen Therapy & Living Center, Inc.
• Dequeen Dental
• Dequeen Medical Center
• Terri Devlin, MD
• Courtney Diaz
• Bobby Dodd
• DQH&W Walk in Family Clinic LLC

• Rehabilitation Hospital in De Queen, AR
• Providers in De Queen, AR by specialty
• Rehabilitation Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.