OrganizationActive
De Queen Medical Center, Inc
NPI 1124549316 · Primary Care Clinic/Center · De Queen, AR
Provider details
- NPI number
- 1124549316
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerramy Icenhower, Administrator(870) 584-0272
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1314 W Collin Raye Dr
De Queen, AR 71832-2135
Phone: (870) 642-2273
Fax: (870) 642-2162
Approximate (ZIP-level) locationGet directions
Mailing address
1306 W Collin Raye Dr
De Queen, AR 71832-2502
Registry dates
- Enumerated
- 2017-06-28
- Last updated
- 2017-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.