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Baxter County Regional Hospital, Inc

Organization Active NPI Ambulance · Mountain Home, AR

NPI 1194590133 · NPPES record last updated Nov 20, 2023

Key facts

NPI
1194590133
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 341600000X
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL, INC
Practice address
624 Hospital Dr
Mountain Home, AR 72653-2955
Phone
(870) 508-1078
Fax
(870) 508-1651
NPI assigned
Nov 20, 2023
Organization subpart
No

Authorized official

Name
Debra Henry
Title
Cfo
Phone
(870) 508-1003

Corporate family (same tax ID) 39

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

View all 39

National Provider Directory

Tax ID family
BCRH ER Prof Fees (40 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Yes

Addresses

Primary practice location

624 Hospital Dr
Mountain Home, AR 72653-2955

Mailing address

PO Box 954106
Saint Louis, MO 63195-4106
Phone (870) 508-1078

Other names

  • Baxter Health Ambulance Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 20, 2023.

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1194590133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 954106",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631954106",
            "telephone_number": "870-508-1078",
            "fax_number": "870-508-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-508-1078",
            "fax_number": "870-508-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER COUNTY REGIONAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-508-1003"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter Health Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Home, AR

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Sources for this page

Verify at the official NPI Registry.