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DALLAS COUNTY MEDICAL CENTER ER PHYSICIANS GROUP
NPI 1043308935
Emergency Medicine - Emergency Medical Services in Fordyce, AR

Active since October 10, 2006CLIA 04D0689262 · Certificate of Compliance
201 NORTH CLIFTON STREET, FORDYCE, AR 71742(870) 352-6363(870) 352-6343 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dallas County Medical Center Er Physicians Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALLAS COUNTY MEDICAL CENTER ER PHYSICIANS GROUP (NPI 1043308935) is a healthcare organization registered as an emergency medical services in Fordyce, Arkansas and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 24, 2027 and lists Tamara K Rieves, Administrator / Ceo, as its authorized official.

NPPES Registry Identity

NPI1043308935
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NameBOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Location Address201 NORTH CLIFTON STREETFordyce, AR 71742
Mailing Address201 North Clifton StreetFordyce, AR 71742 · (870) 352-6363 · Fax (870) 352-6343
Phone(870) 352-6363
Fax(870) 352-6343
Organization SubpartNo
Authorized OfficialTamara K RievesAdministrator / Ceo · (870) 352-6363
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 12, 2016
✔ NPI 1043308935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in AR · AR4114
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
201 NORTH CLIFTON STREET, Fordyce, AR 71742
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Other Names 1

Doing Business AsDallas County Medical Center Er Physicians Group

Other Identifiers 3

Other5C703AR · Bcbs
Medicare OSCAR/certification05C703AR
Medicaid148414002AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 04D0689262

Dallas County Medical Center · Fordyce, AR
Active · expires Mar 24, 2027
CLIA Number04D0689262
Laboratory TypeHospital
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorDr. Gary P. Anzalone
Laboratory Phone(870) 352-6347
Laboratory LocationDallas County Medical Center201 Clifton Street, Fordyce, AR 71742
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
General Acute Care Hospital (Critical Access)
201 NORTH CLIFTON STREET
FORDYCE, AR 71742
Dallas County (870) 352-6363
BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Clinic/Center (Rural Health)
201 NORTH CLIFTON STREET
FORDYCE, AR 71742
Dallas County (870) 352-6363

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Board Of Governors Of Dallas County Medical Center's NPI number?

The NPI number for Board Of Governors Of Dallas County Medical Center is 1043308935. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Dallas County Medical Center ER Physicians Group.

Where is Board Of Governors Of Dallas County Medical Center located?

Board Of Governors Of Dallas County Medical Center is located at 201 North Clifton Street, Fordyce, AR 71742. The listed phone number is (870) 352-6363.

What is Board Of Governors Of Dallas County Medical Center's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Does Board Of Governors Of Dallas County Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D0689262) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Board Of Governors Of Dallas County Medical Center was last updated on August 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.