Dixie Health Care, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIXIE HEALTH CARE, INC

Doing business as

Dixie Health Care, Inc.

Practice address

839 E Main St
Blytheville, AR 72315-2521

Phone

(870) 763-7322

Fax

(870) 763-7420

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Pamela L Thomas

Title

Owner

Phone

(870) 763-7322

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dixie Health Care, Inc. Doing business as

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1447326764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 E MAIN ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152521",
            "telephone_number": "870-763-7322",
            "fax_number": "870-763-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 E MAIN ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152521",
            "telephone_number": "870-763-7322",
            "fax_number": "870-763-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-763-7322"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103495716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "49201",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621155506",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixie Health Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diffine Family Practice PLLC
• David Arthur Diffine, MD
• Lisa Jean Dillard, PTA
• Pamela Dillard
• Dixie Health Care, Inc
• Sharie L Donnerson, MHPP
• Dr. Michael Williams D.D.S.
• Justino Mario C Dublois, Jr.
• Sherry Lee Duffel, BSPSY
• Nandakishore Dukkipati, MD

• Durable Medical Equipment & Medical Supplies in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.