BAXTER COUNTY REGIONAL HOSPITAL INC NPI 1215692330

NPI Information

NPI: 1215692330
Provider Name: BAXTER COUNTY REGIONAL HOSPITAL, INC

Doing Business As: BAXTER HEALTH FAMILY CLINIC AT MAMMOTH SPRING

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
350 MAIN ST STE 4
MAMMOTH SPRING, AR
ZIP 72554
Phone: (870) 625-3111
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BAXTER COUNTY REGIONAL HOSPITAL, INC is a rural health clinic center in Mammoth Spring, AR. BAXTER COUNTY REGIONAL HOSPITAL, INC NPI is 1215692330. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Baxter Health Family Clinic At Mammoth Spring.

The provider's business location address is:

350 MAIN ST STE 4
MAMMOTH SPRING, AR
ZIP 72554-425
Phone: (870) 625-3111

The provider's authorized official is Debra Henry .
The authorized official title is Cfo and has the following contact phone number (870) 508-1003.

The enumeration date for this NPI number is 11/3/2021 and was last updated on 7/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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