NPIMap

Organization Active NPI

Dequeen Medical Center

  • Rural Acute Care Hospital
  • De Queen, AR
National Provider Identifier
1851657415
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
1184612194 Issued in AR
Legal business name
DEQUEEN MEDICAL CENTER
Practice address
1306 W Collin Raye Dr
De Queen, AR 71832-2502
Phone
(870) 642-4990
Fax
(870) 642-7250
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Dr. Melanie Renee Coplen, PHYSICAL THERAPIST
Title
Director of Therapy
Phone
(870) 642-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 1184612194 AR Primary

Addresses

Primary practice location

1306 W Collin Raye Dr
De Queen, AR 71832-2502

Mailing address

1306 W Collin Raye Dr
De Queen, AR 71832-2502
Phone (870) 642-4990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1851657415",
    "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": "870-642-4990",
            "fax_number": "870-642-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322502",
            "telephone_number": "870-642-4990",
            "fax_number": "870-642-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEQUEEN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "COPLEN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPY",
        "authorized_official_telephone_number": "870-642-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "AR",
            "license": "1184612194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 9, 2012; 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.