Ascension Depaul Services
Organization Active NPI Rural Health Clinic/Center · Dumas, AR
NPI 1366527145 · NPPES record last updated Dec 5, 2019
Key facts
- NPI
- 1366527145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ASCENSION DEPAUL SERVICES
- Practice address
- 145 W Waterman St
Dumas, AR 71639-0158 - Phone
- (870) 382-4878
- Fax
- (870) 382-4895
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Laurie Jan Stephenson
- Title
- Director of Integrated Services
- Phone
- (870) 382-3080
Corporate family (same tax ID) 1
Practitioners 1
-
Timothy Neal Irizarry, P.A.
National Provider Directory
- Tax ID family
- Ascension Depaul Services
Locations
145 W Waterman St
Dumas, AR 71639
Phone (870) 382-3308
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
145 W Waterman St
Dumas, AR 71639-0158
Mailing address
PO Box 158
Dumas, AR 71639-0158
Phone (870) 382-3080
Other practice location 1
407 S Gould Ave
Gould, AR 71643-5041
Phone (870) 263-4317
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168849729 | Medicaid | AR |
Other names
- DePaul Community Health Centers - Dumas
Other providers in Dumas, AR
- Nadine Andrews
- Angels on Duty LLC
- Ascension Depaul Services
- Brandi Beatty Palsa
- Sajala Bell
- Lon G Bitzer
- Karla Bolden
All providers in Dumas, AR · Rural Health Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.