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General NPI Number Information
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NPI Number | 1972586238
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Entity Type | Organization
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Legal Business Name | DEWITT HOSPITAL & NURSING HOME, INC.
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 1641 S WHITEHEAD DR
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City | DE WITT
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State | AR
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Zip | 72042-2994
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Country | US
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Telephone | 870-946-3571
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Fax | 870-946-4577
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Provider Business Mailing Address
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Address Line | 1641 S WHITEHEAD DR P.O. BOX 32
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City | DE WITT
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State | AR
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Zip | 72042-2994
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Country | US
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Telephone | 870-946-3571
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Fax | 870-946-4577
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Authorized Official
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Title or Position | ADM., CEO
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Name | MR. BRIAN MILLER
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Credential |
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Telephone | 870-946-3571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | AR4093
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number |
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License Number State |
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