NPIMap

Organization Active NPI

Baxter County Regional Hospital, Inc

Doing business as Baxter Health Ahrens Family Clinic

  • Rural Health Clinic/Center
  • Yellville, AR
National Provider Identifier
1023042991
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
AR3827 Issued in AR
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL, INC
Doing business as
Baxter Health Ahrens Family Clinic
Practice address
414 W Old Main St
Yellville, AR 72687-8284
Phone
(870) 449-4221
Fax
(870) 449-6777
NPI assigned
Jul 10, 2006
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BAXTER COUNTY REGIONAL HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debra Henry
Title
Chief Financial Officer
Phone
(870) 508-1003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X AR3827 AR
Rural Health Clinic/Center 261QR1300X AR3827 AR Primary

Addresses

Primary practice location

414 W Old Main St
Yellville, AR 72687-8284

Mailing address

PO Box 707
Mountain Home, AR 72654-0707
Phone (870) 424-7070

Other names 1

  • Baxter Health Ahrens Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050607001085 AR Part B Supplier - Clinic/Group Practice 3274420971 Receives reassigned benefits from 32 practitioners
7 other NPIs on this enrollment
Practice locations: Calico Rock, AR; Harrison, AR; Mammoth Spring, AR; Melbourne, AR; Mountain Home, AR; Mountain View, AR; Yellville, AR
O20080129000496 AR Part A Provider - Rural Health Clinic 3274420971 Practice locations: Yellville, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023042991. Details of each certification follow.

Rural health clinic certification: CCN 043432

Legal name
BAXTER COUNTY REGIONAL HOSPITAL INC
Doing business as
BAXTER HEALTH AHRENS FAMILY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 15, 1995
Last certification
Jul 2, 2018
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1963 in AR
Enrollment address
414 W Old Main St
Yellville, AR 72687-8284
Related CCNs
040027

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Baxter County Reg Hosp Inc44 organizations share this tax ID, including this one
Part of
Baxter County Reg Hosp Inc

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations

628 Hospital Dr
Ste E1
Mountain Home, AR 72653
Phone (870) 425-3291

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rondell Peterson Individual Corporate DirectorPresident/Ceo Sep 1, 2008
Debra Henry Individual Corporate Director Jul 12, 2015
Lucinda Crow Individual W-2 Managing EmployeeSystem Contract Analyst Jul 12, 2015
Nicole Vaccarella Individual Corporate DirectorVP/General Councel Dec 2, 2016

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baxter HealthMountain Home, AR, CCN 040027 Hospital Operational/Managerial Control Nov 1, 1966
Baxter Health Family Clinic at Calico RockCalico Rock, AR, CCN 048559 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2025
Baxter Health Family ClinicMountain Home, AR, CCN 048558 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2025
Baxter Health Family Clinic at MelbourneMelbourne, AR, CCN 048555 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2025
Baxter Health Family Clinic at Mountain ViewMountain View, AR, CCN 048556 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2025
Baxter Health Market Street Family ClinicMountain Home, AR, CCN 048557 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2025

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1023042991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726540707",
            "telephone_number": "870-424-7070",
            "fax_number": "870-424-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W OLD MAIN ST",
            "city": "YELLVILLE",
            "state": "AR",
            "postal_code": "726878284",
            "telephone_number": "870-449-4221",
            "fax_number": "870-449-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER COUNTY REGIONAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAXTER COUNTY REGIONAL HOSPITAL, INC",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "870-508-1003"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "AR3827",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AR",
            "license": "AR3827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter Health Ahrens Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yellville, AR

Sources for this page

Verify at the official NPI Registry.