DE QUEEN MEDICAL CENTER INC (NPI# 1326205949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326205949 |
| Entity Type | Organization |
| Organization Name | DE QUEEN MEDICAL CENTER INC |
| Practice Address |
1306 W Collin Raye Dr De Queen AR 71832 |
| Mailing Address |
1306 W Collin Raye Dr De Queen AR 71832-2502 |
| Practice Telephone | 8705844111 |
| Practice Fax Number | 8705844100 |
| Mailing Telephone | 8705844111 |
| Mailing Fax Number | 8705844100 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | RYAN E CAPSHEW (CEO) |
| Authorized Official Telephone | 8705844111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | AR4365 | AR | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 157514105 | 05 | |
| OK | 200064800C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609181783 | De Queen Medical Center Inc | Home Health | 1007 N 14th St, De Queen, AR 71832 | 2010-08-12 |
| 1184612194 | De Queen Medical Center Inc | General Acute Care Hospital | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2005-10-12 |
| 1598922114 | De Queen Medical Center Inc | Medicare Defined Swing Bed Unit | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2008-05-21 |
| 1194852715 | De Queen Medical Center Inc | Radiology | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2007-02-28 |
| 1154423523 | De Queen Medical Center Inc | General Acute Care Hospital | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2006-09-05 |
| Street Address |
1306 W COLLIN RAYE DR |
| City | DE QUEEN |
| State | AR |
| Zip Code | 71832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184612194 | De Queen Medical Center Inc | General Acute Care Hospital | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2005-10-12 |
| 1104356419 | De Queen Medical Center Dialysis | Clinic/Center | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2017-06-19 |
| 1245630227 | Deadre Brady | Physical Therapy Assistant | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2014-08-27 |
| 1013334606 | Kimberly Henritze | Occupational Therapy Assistant | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2014-03-21 |
| 1760806020 | Tasha Hodges | Physical Therapy Assistant | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2014-02-06 |
| 1437405354 | Sarah Beth Friday | Physical Therapy Assistant | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2012-07-29 |
| 1851657415 | Dequeen Medical Center | General Acute Care Hospital | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2012-04-09 |
| 1588961338 | Darrin Ashbrooks Md Pa | Family Medicine | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2011-02-14 |
| 1831407741 | Laken Marie Plunk | Physical Therapy Assistant | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2010-09-14 |
| 1598922114 | De Queen Medical Center Inc | Medicare Defined Swing Bed Unit | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487149985 | Healthcare Express, LLP | Clinic/Center | 1021 W. Collin Raye Dr., Dequeen, AR 71832 | 2018-06-27 |
| 1982963781 | Callie Montana Miller | Specialist/Technologist | 194 Choctaw Trail, Dequeen, AR 71832 | 2012-05-14 |
| 1023376589 | Dequeen Medical Center | Rehabilitation Hospital | 1306 W Collin Dr., Dequeen, AR 71832 | 2012-05-02 |
| 1083971428 | Renee Logan | Pharmacist | 205 W De Queen Ave., De Queen, AR 71832 | 2012-04-23 |
| 1538434295 | Angela Kay Martin | Nurse Practitioner | 1302 W. Collin Raye Dr., Suite A, Dequeen, AR 71832 | 2012-03-14 |
| 1386950624 | Charles Norman Alston IIi | Dentist | 110 W. De Queen Avenue, De Queen, AR 71832 | 2010-08-24 |
| 1609181783 | De Queen Medical Center Inc | Home Health | 1007 N 14th St, De Queen, AR 71832 | 2010-08-12 |
| 1821301466 | Claire Terece Russell | Nurse Practitioner | 500 E. Collin Raye Dr, Dequeen, AR 71832 | 2010-07-25 |
| 1043445455 | Smiles of Arkansas Dental Center, Pllc | Dentist | 110 West Dequeen Avenue, Suite B, Dequeen, AR 71832 | 2009-05-29 |
| 1538319496 | Kerri Allison Ross | Speech-Language Pathologist | 122 Crestwood Dr., Dequeen, AR 71832 | 2008-09-26 |
| Find all providers in zip 71832 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558337931 | St. Vincent Infirmary Medical Center | Rehabilitation Unit | 6101 Saint Vincent Cir, Little Rock, AR 72205-5340 | 2006-02-27 |
| 1295706844 | Phillips Hospital Corporation | Rehabilitation Unit | 1801 Martin Luther King Dr, Helena, AR 72342-8998 | 2006-01-31 |
| 1518591809 | Mercy Hospital Rogers | Rehabilitation Unit | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2020-02-26 |
| 1790147106 | Conway Community Services | Rehabilitation Unit | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-03-24 |
| 1700269339 | Baptist Memorial Hospital-jonesboro Inc | Rehabilitation Unit | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2015-07-01 |
| 1871828467 | Fort Smith Hma, LLC | Rehabilitation Unit | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2009-10-15 |
| 1689815268 | Jay Michael Burns | Rehabilitation Unit | 2200 Fort Roots Drive, North Little Rock, AR 72114 | 2009-03-12 |
| 1184879959 | Hot Springs Rehabilitation Hospital | Rehabilitation Unit | 105 Reserve St, Hot Springs, AR 71901-4195 | 2008-11-20 |
| 1689839961 | Arkansas Health Group | Rehabilitation Unit | 9600 Lile Dr, Suite 210, Little Rock, AR 72205-6326 | 2008-07-25 |
| 1982806196 | Northwest Arkansas Hospitals LLC | Rehabilitation Unit | 609 W Maple Ave, Springdale, AR 72764-5335 | 2007-06-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.