| Dallas County Medical Center Family Clinic | |
|
201 North Clifton Street Fordyce AR 71742 | |
| (870) 352-6363 | |
| (870) 352-6343 |
| Full Name | Dallas County Medical Center Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 North Clifton Street, Fordyce, Arkansas |
| Authorized Official Name and Position | Tamara K Rieves (ADMINISTRATOR / CEO) |
| Authorized Official Contact | 8703526363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas County Medical Center Family Clinic 201 North Clifton Street Fordyce AR 71742 Ph: (870) 352-6363 | Dallas County Medical Center Family Clinic 201 North Clifton Street Fordyce AR 71742 Ph: (870) 352-6363 |
| NPI Number | 1346378528 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/12/2016 |
| Medicare PECOS PAC ID | 7416869300 |
|---|---|
| Medicare Enrollment ID | O20070309000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346378528 | NPI | - | NPPES |
| 148217105 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | AR4115 (Arkansas) | Primary |
Michael D Payne Md Pllc Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Clifton St, Fordyce, AR 71742 Phone: 870-352-3151 Fax: 870-352-8497 | |
Rodney Mark Dixon Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 N Clifton St, Fordyce, AR 71742 Phone: 870-352-6300 | |
Nutt-walley Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Clifton St, Fordyce, AR 71742 Phone: 870-352-3525 Fax: 870-352-3533 | |
Hcc Of Fordyce, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 N Clifton St, Fordyce, AR 71742 Phone: 870-352-6300 | |
Hugh A. Nutt M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5144 Fax: 870-352-8498 | |
Nutt-walley Clinic Of Dallas County Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 N Clifton St, Fordyce, AR 71742 Phone: 870-352-3525 Fax: 870-352-3533 |