De Queen Medical Center Dialysis

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1104356419

De Queen Medical Center Dialysis is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in De Queen, Arkansas. Registered with an NPI since 2017.

In the registry since: 2017

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Practice location Address checks out

1306 W Collin Raye Dr
De Queen, AR 71832-2502
Phone: (870) 584-4111
Fax: (870) 584-4100

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X

Record details

NPI number	1104356419
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	De Queen Medical Center, Inc
Authorized official	Jerramy Icenhower — Administrator · (870) 584-0272
NPI enumerated	June 19, 2017
Last updated in NPPES	July 21, 2022
Mailing address	1306 W Collin Raye Dr, De Queen, AR 71832-2502