NPIMap

Organization Active NPI

Baxter County Regional Hospital, Inc

Doing business as Baxter Health Family Clinic at Mountain View

  • Rural Health Clinic/Center
  • Mountain View, AR
National Provider Identifier
1316745144
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL, INC
Doing business as
Baxter Health Family Clinic at Mountain View
Practice address
103 Mountain Place Dr
Mountain View, AR 72560-6802
Phone
(870) 269-3447
Fax
(870) 269-3448
NPI assigned
Mar 6, 2025
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

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
Cfo
Phone
(870) 508-1003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

103 Mountain Place Dr
Mountain View, AR 72560-6802

Mailing address

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

Other names 1

  • Baxter Health Family Clinic at Mountain View 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
This NPI is an additional NPI on the enrollment
Practice locations: Calico Rock, AR; Harrison, AR; Mammoth Spring, AR; Melbourne, AR; Mountain Home, AR; Mountain View, AR; Yellville, AR
O20250403002843 AR Part A Provider - Rural Health Clinic 3274420971 Practice locations: Mountain View, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316745144. Details of each certification follow.

Rural health clinic certification: CCN 048556

Legal name
BAXTER COUNTY REGIONAL HOSPITAL INC
Doing business as
BAXTER HEALTH FAMILY CLINIC AT MOUNTAIN VIEW
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 21, 2025
Last certification
Oct 21, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
103 Mountain Place Dr
Mountain View, AR 72560
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 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

103 Mountain Place Dr
Mountain View, AR 72560
Phone (870) 269-3447

414 W Old Main St
Yellville, AR 72687
Phone (870) 424-1000

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Sally Gilbert Individual Corporate DirectorBoard of Director Mar 1, 2010
Melissa B Dirst-Roberts Individual Corporate DirectorBoard of Director Jan 1, 2023
Rondell Peterson Individual Corporate OfficerCeo Jun 1, 2007
Corporate DirectorCeo Jun 1, 2007
W-2 Managing EmployeeCeo Jun 1, 2007
Debra Henry Individual Corporate OfficerCfo Jun 1, 2016
Corporate DirectorCfo Jun 1, 2016
W-2 Managing EmployeeCfo Jun 1, 2016
Baxter County Regional Hospital Inc Organization, Mountain Home, AR Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Heather Knight Loftis Individual Corporate DirectorBoard of Director Dec 1, 2021
Lang Zimmerman Individual Corporate DirectorBoard of Director Nov 1, 2016
Steve Luelf Individual Corporate DirectorBoard of Director Nov 1, 2005
Paul Wade Individual Corporate DirectorBoard of Director May 1, 2017
Nicole Vaccarella Individual W-2 Managing EmployeeVP General Counsel Mar 1, 2000
Ted Sanders Individual Corporate DirectorBoard of Director Jan 1, 2008
Randy Hopper Individual Corporate DirectorBoard of Director Jan 1, 2019
Matthew Baker Wilson Individual Corporate DirectorBoard of Director Jan 1, 2025
Jerry Cunningham Individual Corporate DirectorBoard of Director Oct 1, 2011

Owners & managing parties with NPI records 18

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 18

All facility ownership & control disclosures 5

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 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 6

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1316745144",
    "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": "103 MOUNTAIN PLACE DR",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725606802",
            "telephone_number": "870-269-3447",
            "fax_number": "870-269-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER COUNTY REGIONAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "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": "CFO",
        "authorized_official_telephone_number": "870-508-1003"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter Health Family Clinic at Mountain View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, AR

Sources for this page

Verify at the official NPI Registry.