NPIMap

Organization Active NPI

Baxter Health Fulton County Hospital

Doing business as Baxter Health Fulton County Family Clinic

  • Clinic/Center
  • Salem, AR
National Provider Identifier
1336977172
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BAXTER HEALTH FULTON COUNTY HOSPITAL
Doing business as
Baxter Health Fulton County Family Clinic
Practice address
673 N Main Street
Ste a
Salem, AR 72576
Phone
(870) 895-4488
NPI assigned
Jul 23, 2024
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

673 N Main Street
Ste a
Salem, AR 72576

Mailing address

PO Box 517
Salem, AR 72576-0517
Phone (870) 895-2691

Other names 1

  • Baxter Health Fulton County Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241216003520 AR Part B Supplier - Clinic/Group Practice 0749716876 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salem, AR

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Member of 1

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

Locations

673 N Main St
Ste A
Salem, AR 72576
Phone (870) 508-1081

Practitioners & affiliated clinicians

Practitioners 6

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": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1336977172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725760517",
            "telephone_number": "870-895-2691",
            "fax_number": "870-895-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 N MAIN STREET",
            "address_2": "STE A",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "72576",
            "telephone_number": "870-895-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER HEALTH FULTON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter Health Fulton County Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baxter Health Fulton County Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.