NPIMap

Organization Active NPI

De Queen Medical Center Inc

  • Critical Access Hospital
  • De Queen, AR
National Provider Identifier
1154423523
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
AR4365 Issued in AR
Legal business name
DE QUEEN MEDICAL CENTER INC
Practice address
1306 W Collin Raye Dr
De Queen, AR 71832
Phone
(870) 584-4111
Fax
(870) 584-4100
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Ryan E Capshew
Title
Ceo
Phone
(870) 584-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X AR4365 AR Primary

Addresses

Primary practice location

1306 W Collin Raye Dr
De Queen, AR 71832

Mailing address

1306 W Collin Raye Dr
De Queen, AR 71832-2502
Phone (870) 584-4111

Other identifiers 3

IdentifierTypeStateIssuer
5F420OtherARMEDICARE ID-ARKANSAS
157501002MedicaidAR
200064800AMedicaidOK

National Provider Directory

National Provider Directory

Locations

13595 SW 134th Ave
Ste 209
Miami, FL 33186
Phone (305) 259-6771

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1154423523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322502",
            "telephone_number": "870-584-4111",
            "fax_number": "870-584-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "71832",
            "telephone_number": "870-584-4111",
            "fax_number": "870-584-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE QUEEN MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "CAPSHEW",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-584-4111"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AR",
            "license": "AR4365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-ARKANSAS",
            "identifier": "5F420",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157501002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200064800A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Queen, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.