NPIMap

Organization Active NPI

Baxter County Regional Hospital

Doing business as Baxter Regional Rheumatology Clinic

  • Rheumatology Physician
  • Mountain Home, AR
National Provider Identifier
1285719146
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
AR3827 Issued in AR
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL
Doing business as
Baxter Regional Rheumatology Clinic
Practice address
310 Buttercup Dr Ste C
Mountain Home, AR 72653-2932
Phone
(870) 424-7072
NPI assigned
Oct 26, 2006
Last updated
Sep 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X AR3827 AR Primary

Addresses

Primary practice location

310 Buttercup Dr Ste C
Mountain Home, AR 72653-2932

Mailing address

310 Buttercup Dr Ste C
Mountain Home, AR 72653-2932
Phone (870) 424-7072

Other identifiers 1

IdentifierTypeStateIssuer
101068002MedicaidAR

Other names 1

  • Baxter Regional Rheumatology Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baxter County Reg Hosp Inc40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1285719146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BUTTERCUP DR STE C",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532932",
            "telephone_number": "870-424-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BUTTERCUP DR STE C",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532932",
            "telephone_number": "870-424-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER COUNTY REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-09-06",
        "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": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AR",
            "license": "AR3827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101068002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter Regional Rheumatology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.