Baxter County Regional Hospital, INC
Family Medicine, Adult Medicine in Mountain Home, AR. Organization (NPI-2).
NPI number1790257673
StatusActive
Last updated in NPPESDec 17, 2018
Details
- NPI
- 1790257673
- Entity type
- Organization (NPI-2)
- Legal business name
- Baxter County Regional Hospital, INC
- Organization subpart
- No
- Enumeration date
- Dec 17, 2018
- Last updated
- Dec 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | – | – | Yes |
Other names
- Baxter Regional Vitality Clinic (Doing Business As)
Practice location
310 Buttercup Dr Ste CMountain Home, AR 72653-2932
Phone 870-508-6976 · Fax 870-508-1615
Mailing address
310 Buttercup Dr Ste CMountain Home, AR 72653-2932
Phone 870-508-6976 · Fax 870-508-1615
Authorized official
Debra Henry
Cfo
8705081003
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