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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 C
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Fordyce, AR
- NPI 1043308935
-
- Medicare Defined Swing Bed Hospital Unit
- Fordyce, AR
- NPI 1275708885
-
- Rural Health Clinic/Center
- Fordyce, AR
- NPI 1346378528
-
- Rural Health Clinic/Center
- Fordyce, AR
- NPI 1508364241
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
- Board of Governors of Dallas County Medical Center
- Board of Governors of Dallas County Medical Center
- Board of Governors of Dallas County Medical Center
- Board of Governors of Dallas County Medical Center
- Board of Governors of Dallas County Medical Center
- Board of Governors of Dallas County Medical Center
- Cherie Ann Bonanno, MHPP
- Kristen F Boren, MHPP
- Leslie Brandon, LPC
- Barry Bray, MHPP
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.