Organization Active NPI

Board of Governors of Dallas County Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fordyce, AR
National Provider Identifier
1750201430
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Practice address
110 N Clifton St Ste 3
Fordyce, AR 71742-3060
Phone
(870) 352-6226
Fax
(870) 352-6490
NPI assigned
Jul 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Mechelle Brown
Title
Payroll
Phone
(870) 352-6465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

110 N Clifton St Ste 3
Fordyce, AR 71742-3060

Mailing address

110 N Clifton St Ste 3
Fordyce, AR 71742-3060
Phone (870) 352-6226

National Provider Directory

National Provider Directory
Tax ID family
Dallas County Medical C5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1750201430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N CLIFTON ST STE 3",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423060",
            "telephone_number": "870-352-6226",
            "fax_number": "870-352-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N CLIFTON ST STE 3",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423060",
            "telephone_number": "870-352-6226",
            "fax_number": "870-352-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MECHELLE",
        "authorized_official_title_or_position": "PAYROLL",
        "authorized_official_telephone_number": "870-352-6465"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fordyce, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.