Board of Governors of Dallas County Medical Center
NPI 1508364241 · Rural Health Clinic/Center · Fordyce, AR
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Board of Governors of Dallas County Medical Center is a Rural Health Clinic/Center organization in Fordyce, AR (NPI 1508364241).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
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
Frequently asked questions
- What is Board of Governors of Dallas County Medical Center's NPI number?
- Board of Governors of Dallas County Medical Center's National Provider Identifier (NPI) is 1508364241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Board of Governors of Dallas County Medical Center?
- Board of Governors of Dallas County Medical Center is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Board of Governors of Dallas County Medical Center located?
- Board of Governors of Dallas County Medical Center's practice location on file with NPPES is 110 N Clifton St, Fordyce, AR 71742-3025.
- What is Board of Governors of Dallas County Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Board of Governors of Dallas County Medical Center is (870) 352-3525.
- Does Board of Governors of Dallas County Medical Center accept Medicare?
- Board of Governors of Dallas County Medical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Board of Governors of Dallas County Medical Center?
- The authorized official listed on Board of Governors of Dallas County Medical Center's NPPES record is Kenneth Sanders, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Board of Governors of Dallas County Medical Center's NPI active?
- Yes — Board of Governors of Dallas County Medical Center's NPI (1508364241) is active in the NPPES registry as of the last update on 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.