Baptist Health

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

C5558 Issued in AR

Legal business name

BAPTIST HEALTH

Practice address

1415 Highway 25B Ste 3
Heber Springs, AR 72543-1710

Phone

(501) 887-3212

NPI assigned

Jul 24, 2013

Last updated

Dec 12, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

BAPTIST HEALTHAs reported in NPPES

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

Authorized official

Name

Troy Wells

Title

President

Phone

(501) 202-2080

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104268689. Details of each certification follow.

• CCN 048506 Rural health clinic · Active · Details

Rural health clinic certification: CCN 048506

Legal name

BAPTIST HEALTH

Doing business as

BAPTIST HEALTH FAMILY CLINIC - HEBER SPRINGS

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Sep 1, 2013

Last certification

Sep 5, 2023

Ownership / control type

2B

Organization structure

CorporationNon-profit

Incorporated

Oct 1, 1920 in AR

Enrollment address

1415 Highway 25B
Ste 3
Heber Springs, AR 72543-1710

Related CCNs

041312

Related certifications (CCN) 1

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

• Baptist Health

  dba Baptist Health Medical Center - Heber Springs

  • Critical Access Hospital
  • Heber Springs, AR
  • NPI 1609804822

  Parent provider

  Provider of Services

Tax ID family

Baptist Health Home Medical Equipment58 organizations share this tax ID, including this one

Part of

Baptist Health Home Medical Equipment

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Baptist Health

  dba Baptist Health Family Clinic Greers Ferry

  • Rural Health Clinic/Center
  • Greers Ferry, AR
  • NPI 1003821703
  NPD tax ID
• Baptist Health

  • Customized Equipment (DME)
  • Arkadelphia, AR
  • NPI 1013059088
  NPD tax ID
• Baptist Health

  dba Baptist Health Ambulance Service - Arkadelphia

  • Land Ambulance
  • Arkadelphia, AR
  • NPI 1013351931
  NPD tax ID
• Baptist Health

  dba Baptist Home Health Network

  • Home Health Agency
  • Heber Springs, AR
  • NPI 1033213632
  NPD tax ID
• Baptist Health

  dba 2020 Health Solutions

  • Case Management Agency
  • Little Rock, AR
  • NPI 1053598649
  NPD tax ID
• Baptist Health

  dba Arkansas Cardiology

  • Cardiovascular Disease Physician
  • Conway, AR
  • NPI 1083160899
  NPD tax ID
• Baptist Health

  dba Baptist Health Family Clinic - Sheridan

  • Rural Health Clinic/Center
  • Sheridan, AR
  • NPI 1114792157
  NPD tax ID
• Baptist Health

  dba Baptist Health Medical Towers Pharmacy

  • Community/Retail Pharmacy
  • Little Rock, AR
  • NPI 1124095070
  NPD tax ID
• Baptist Health

  dba Baptist Home Health Network

  • Home Health Agency
  • Little Rock, AR
  • NPI 1134225451
  NPD tax ID
• Baptist Health

  dba Baptist Hospice

  • Community Based Hospice Care Agency
  • Little Rock, AR
  • NPI 1164526554
  NPD tax ID
• Baptist Health

  dba Baptist Health Medical Center-Arkadelphia

  • Critical Access Hospital
  • Arkadelphia, AR
  • NPI 1174553796
  NPD tax ID
• Baptist Health

  dba Baptist Health Rehabilitation Institute

  • Rehabilitation Hospital
  • Little Rock, AR
  • NPI 1215967831
  NPD tax ID

Locations

All disclosed owners & managing parties 20

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

All facility ownership & control disclosures 50

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

Facilities with the same owner 50

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Baptist Health

  dba Baptist Health Family Clinic Greers Ferry

  • Rural Health Clinic/Center
  • Greers Ferry, AR
  • NPI 1003821703

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Home Health Network

  • Home Health Agency
  • Heber Springs, AR
  • NPI 1033213632

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Medical Center-Little Rock

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Family Clinic - Sheridan

  • Rural Health Clinic/Center
  • Sheridan, AR
  • NPI 1114792157

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Home Health Network

  • Home Health Agency
  • Little Rock, AR
  • NPI 1134225451

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Hospice

  • Community Based Hospice Care Agency
  • Little Rock, AR
  • NPI 1164526554

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Medical Center-Arkadelphia

  • Critical Access Hospital
  • Arkadelphia, AR
  • NPI 1174553796

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Rehabilitation Institute

  • Rehabilitation Hospital
  • Little Rock, AR
  • NPI 1215967831

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Medical Center-Psych

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1255377420

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Ouachita Valley Family Clinic

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1366279424

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Family Clinic - Beebe

  • Rural Health Clinic/Center
  • Beebe, AR
  • NPI 1376336883

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Family Clinic - Sparkman

  • Rural Health Clinic/Center
  • Sparkman, AR
  • NPI 1427630110

  Baptist Health

  CMS ownership

Practitioners 10

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.

• Justin Allen, MD

  • Family Medicine Physician
  • Clinton, AR
  • NPI 1083024848
  Medicare reassignment NPD
• Ryan P Buffalo, M.D.

  • Family Medicine Physician
  • Heber Springs, AR
  • NPI 1356330666
  Medicare reassignment NPD
• John R Herring

  • Family Medicine Physician
  • Greers Ferry, AR
  • NPI 1295747566
  Medicare reassignment NPD
• Latrina Maez, NP-C

  • Family Nurse Practitioner
  • Batesville, AR
  • NPI 1922434885
  Medicare reassignment NPD
• Matthew Rodgers, APRN

  • Family Nurse Practitioner
  • Heber Springs, AR
  • NPI 1043840549
  Medicare reassignment NPD
• Shannon Lee Shearer, APRN

  • Family Nurse Practitioner
  • Greers Ferry, AR
  • NPI 1457733875
  Medicare reassignment NPD
• Jimmy Lee Womack Jr., APRN FNP-C

  • Family Nurse Practitioner
  • Hector, AR
  • NPI 1740850387
  Medicare reassignment NPD
• Nicole Lea Yoder, NP

  • Family Nurse Practitioner
  • Heber Springs, AR
  • NPI 1639989304
  Medicare reassignment NPD
• Justin Matthew Sharpe, APRN

  • Family Nurse Practitioner
  • London, OH
  • NPI 1790191914

  AR

  Medicare reassignment NPD
• Kindra Daye Witkowski, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1497484505
  NPD

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1104268689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 25B STE 3",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725431710",
            "telephone_number": "501-887-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 25B STE 3",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725431710",
            "telephone_number": "501-887-3212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Heber Springs",
            "state": "AR",
            "postal_code": "725433715",
            "country_code": "US",
            "telephone_number": "501-887-3212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAPTIST HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH",
        "enumeration_date": "2013-07-24",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-202-2080"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AR",
            "license": "C5558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120463729",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley J Ashabranner, M.D.
• Attention Diabetics, Inc (Attention Medical Supply)
• Kelly J Ayers, M.S.,L.P.E.
• Ashley N Bane, SPEECH PATHOLOGIST
• Baptist Health (Baptist Home Health Network)
• Baptist Health (Baptist Health Medical Center - Heber Springs)
• Baptist Health (Baptist Health Medical Center - Heber Springs Swing Bed)
• Baptist Health (Baptist Health Heber Springs - Campus Clinic)
• Baptist Health (BH Cancer Center - Heber Springs)
• Baptist Health Home Medical Equipment

• Rural Health Clinic/Center in Heber Springs, AR
• Providers in Heber Springs, AR by specialty
• Rural Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.