Organization · Type 2 NPI

Ascension Depaul Services

Rural Health Clinic/Center · Gould, AR

NPI number 1689775231 Active

Practice location

407 South Gould Ave
Gould, AR 71643-0370

Call (870) 263-4317 Map

Fax (870) 263-4782

Mailing address

PO Box 158
Dumas, AR 71639-0158

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Ascension Depaul ServicesGeneral Practice Dentistry Gould, AR NPI 1689890063

Other rural health clinic/center providers in Gould

Ascension Depaul ServicesRural Health Clinic/Center Gould, AR NPI 1225629819

See all in Gould →

NPI record

NPI: 1689775231
Entity type: Organization (Type 2)
Issued: Sep 26, 2006
Last updated: Dec 5, 2019
Status: Active
Subpart: Yes of Ascension Depaul Services

Other names

<unavail>
Depaul Community Health Centers - Gould · doing business as
ST Elizabeth Health Center · former legal business name

Authorized official

Laurie Jan Stephenson
Director of Integrated Services
(870) 382-3080

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1689775231

Ascension Depaul Services's National Provider Identifier is 1689775231, issued on Sep 26, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Gould, AR. The record was last updated on Dec 5, 2019.