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Contact Information

DERMOTT CITY NURSING HOME
702 WEST GAINES ST.
DERMOTT, AR71638
 Phone: 870-538-3241
 Fax: 870-538-5763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for DERMOTT CITY NURSING HOME

NPI # 1134286750
LBN Legal business name DERMOTT CITY NURSING HOME
Authorized official VICKI ALLEN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
AR License # 476
AR Other 15172 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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