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NPI · 1104356419 · NPPES-sourced

De Queen Medical Center Dialysis

ActiveEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Number
1104356419
Type 2 · Organisation
Contact
(870) 584-4111
Primary practice line
Last Updated
Enumerated
Primary practice addressAR · 71832-2502
1306 W Collin Raye DrDe Queen, AR 71832-2502
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About this NPIWhat this record shows.

NPI 1104356419 is registered to De Queen Medical Center Dialysis, a healthcare organisation classified as "End-Stage Renal Disease (ESRD) Treatment Clinic/Center" and located at 1306 W Collin Raye Dr in De Queen, Arkansas. The organisation's authorised official is Jerramy Icenhower. The organisation has been enumerated in the NPI registry since 2017.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans De Queen Medical Center Dialysis accepts. To confirm in-network status with your specific health plan, contact De Queen Medical Center Dialysis directly at (870) 584-4111.

Frequently asked

Yes. NPI 1104356419 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (870) 584-4111.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. De Queen Medical Center Dialysis is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QE0700X
Last updated
Enumerated
StatusActive
Partneri
partner offer
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8 records · same addressOther providers at this location.

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Same specialtyOther End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Arkansas.

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