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DE QUEEN MEDICAL CENTER, INC
NPI 1124549316
Clinic/Center - Primary Care in De Queen, AR

Active since June 28, 2017
1314 W COLLIN RAYE DR, DE QUEEN, AR 71832(870) 642-2273(870) 642-2162 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About De Queen Medical Center, Inc NPPES

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

DE QUEEN MEDICAL CENTER, INC (NPI 1124549316) is a healthcare organization registered as a primary care in De Queen, Arkansas and active in the NPI registry since June 2017. The organization lists Jerramy Icenhower, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124549316
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDE QUEEN MEDICAL CENTER, INC
Location Address1314 W COLLIN RAYE DRDe Queen, AR 71832-2135
Mailing Address1306 W Collin Raye DrDe Queen, AR 71832-2502 · (870) 584-4111 · Fax (870) 584-4100
Phone(870) 642-2273
Fax(870) 642-2162
Organization SubpartNo
Authorized OfficialJerramy IcenhowerAdministrator · (870) 584-0272
Enumeration DateJune 28, 2017
✔ NPI 1124549316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1314 W COLLIN RAYE DR, De Queen, AR 71832
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Medical Equipment Supplier Medicare DMEPOS 25

Medicare supplier enrollment and the product categories De Queen Medical Equipment carries, from the Medicare DMEPOS supplier directory.

De Queen Medical Equipment

DMEPOS supplier · De Queen, AROperated by Dqhha Equipment & Supply Inc
✔

Accepts Medicare assignment

De Queen Medical Equipment agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20656085
Medicare Participant SinceJanuary 1, 1998
Supplier Location209 W Dequeen AveDe Queen, AR 71832
Phone(870) 642-4555
Provider TypeOxygen & Equipment
Supplier Specialties
Medical Supply Company Other MSC With Respiratory Therapist MSC With Orthotic Personnel MSC With Prosthetic Personnel MSC With Orthotic-Prosthetic Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 De Queen Medical Center, Inc's NPI number?

The NPI number for De Queen Medical Center, Inc is 1124549316. It was assigned to this organization in the NPPES registry on June 28, 2017.

Where is De Queen Medical Center, Inc located?

De Queen Medical Center, Inc is located at 1314 W Collin Raye Dr, De Queen, AR 71832. The listed phone number is (870) 642-2273.

What is De Queen Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does De Queen Medical Center, Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, De Queen Medical Equipment accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for De Queen Medical Center, Inc was last updated on June 28, 2017. 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.