OrganizationActive
Board of Governors of Dallas County Medical Center
NPI 1508364241 · Rural Health Clinic/Center · Fordyce, AR
Provider details
- NPI number
- 1508364241
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Sanders, Administrator(870) 352-6363
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
110 N Clifton St
Fordyce, AR 71742-3025
Phone: (870) 352-3525
Fax: (870) 352-3533
Approximate (ZIP-level) locationGet directions
Mailing address
110 N Clifton St
Fordyce, AR 71742-3025
Other names (DBA / former)
- Doing business as
- Nutt-Walley Clinic of Dallas County Medical Center
Registry dates
- Enumerated
- 2018-01-29
- Last updated
- 2018-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.