Active NPI
De Queen Medical Center Inc
- Home Health Agency
- De Queen, AR
National Provider Identifier
1609181783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- AR5043
- Legal business name
- DE QUEEN MEDICAL CENTER INC
- Practice address
- 1007 N 14TH St
De Queen, AR 71832 - Phone
- (870) 584-0277
- Fax
- (870) 584-0278
- NPI assigned
- Aug 12, 2010
- Organization subpart
- Yes
- Parent organization
- DE QUEEN MEDICAL CENTER INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AR5043 | AR | Primary |
Addresses
Primary practice location
1007 N 14TH St
De Queen, AR 71832
Mailing address
1306 W Collin Raye Dr
De Queen, AR 71832-2502
Phone (870) 584-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191767514 | Medicaid | AR |
Other names 1
- De Queen Medical Center Home Health
National Provider Directory
National Provider Directory- Part of
- De Queen Medical Center Inc
Locations
1007 N 14th St
De Queen, AR 71832
Phone (870) 584-0277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535328000000",
"number": "1609181783",
"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": "1007 N 14TH ST",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "71832",
"telephone_number": "870-584-0277",
"fax_number": "870-584-0278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DE QUEEN MEDICAL CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DE QUEEN MEDICAL CENTER INC",
"enumeration_date": "2010-08-12",
"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": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AR",
"license": "AR5043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191767514",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "De Queen Medical Center Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}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.