NUTT-WALLEY CLINIC OF DALLAS COUNTY MEDICAL CENTER
NPI 1508364241
Clinic/Center - Rural Health in Fordyce, AR

Active since January 29, 2018
110 N CLIFTON ST, FORDYCE, AR 71742(870) 352-3525(870) 352-3533 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nutt-walley Clinic Of Dallas County Medical Center NPPES

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

NUTT-WALLEY CLINIC OF DALLAS COUNTY MEDICAL CENTER (NPI 1508364241) is a healthcare organization registered as a rural health in Fordyce, Arkansas and active in the NPI registry since January 2018. The organization lists Kenneth E Sanders, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508364241
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Location Address110 N CLIFTON STFordyce, AR 71742-3025
Mailing Address110 N Clifton StFordyce, AR 71742-3025
Fax(870) 352-3533
Organization SubpartNo
Authorized OfficialKenneth E SandersAdministrator · (870) 352-6363
Enumeration DateJanuary 29, 2018
NPI 1508364241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
110 N CLIFTON ST, Fordyce, AR 71742

Other Names 1

Doing Business AsNutt-walley Clinic Of Dallas County Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
110 N CLIFTON ST
FORDYCE, AR 71742
Clinic/Center (Rural Health)
110 N CLIFTON ST
FORDYCE, AR 71742
Family Medicine
110 N CLIFTON ST
FORDYCE, AR 71742
Clinic/Center (Rural Health)
110 N CLIFTON ST
FORDYCE, AR 71742
Family Medicine
110 N CLIFTON ST
FORDYCE, AR 71742

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 1508364241. It was assigned to this organization in the NPPES registry on January 29, 2018. The provider is doing business as Nutt-Walley Clinic Of Dallas County Medical Center.

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

Board Of Governors Of Dallas County Medical Center is located at 110 N Clifton St, Fordyce, AR 71742. The listed phone number is (870) 352-3525.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Board Of Governors Of Dallas County Medical Center was last updated on January 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.