Baxter County Regional Hospital, INC
Family Medicine in Mountain Home, AR. Organization (NPI-2).
NPI number1316777329
StatusActive
Last updated in NPPESAug 5, 2024
Details
- NPI
- 1316777329
- Entity type
- Organization (NPI-2)
- Legal business name
- Baxter County Regional Hospital, INC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2024
- Certification date
- Aug 5, 2024
- Last updated
- Aug 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Baxter Health College Street Family Clinic (Doing Business As)
Practice location
400 S College St Ste 5Mountain Home, AR 72653-3923
Phone 870-508-1000
Mailing address
400 S College St Ste 5Mountain Home, AR 72653-3923
Phone 870-508-1000
Authorized official
Debra Henry
Cfo
8705081003
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