DE QUEEN MEDICAL CENTER INC – NPI #1194852715
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

DE QUEEN MEDICAL CENTER INC is a radiologist located in DE QUEEN, AR. NPPES has assigned the NPI number 1194852715 to DE QUEEN MEDICAL CENTER INC on February 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 16 years ago on May 05, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DE QUEEN MEDICAL CENTER INC below.

NPI Profile for
DE QUEEN MEDICAL CENTER INC

NPI Number
1194852715
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DE QUEEN MEDICAL CENTER INC
Primary location
1306 W COLLIN RAYE DR
DE QUEEN, AR 71832-2502
Phone: (870) 584-0272 Fax: (870) 584-4100
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN MATHESON
CEO
Phone: (870) 584-0272
Updated
Identifiers

Identifiers for DE QUEEN MEDICAL CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSSAR5F418
MEDICAIDAR157501002
MEDICAIDOK200064800A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
AR AR4365

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.