Active NPI
Baptist Health
Doing business as Baptist Health Family Clinic - Beebe
- Rural Health Clinic/Center
- Beebe, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- BAPTIST HEALTH
- Doing business as
- Baptist Health Family Clinic - Beebe
- Practice address
- 47 Highway 64 W
Beebe, AR 72012-9500 - Phone
- (501) 882-3388
- NPI assigned
- May 27, 2025
- Last updated
- May 27, 2025
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
47 Highway 64 W
Beebe, AR 72012-9500
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Other names 1
- Baptist Health Family Clinic - Beebe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210504000413 | AR | Part B Supplier - Clinic/Group Practice | 0648177949 |
Receives reassigned benefits from 41 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Little Rock, AR; Sparkman, AR; Sheridan, AR; Russellville, AR; Perryville, AR; Monticello, AR; Malvern, AR; Heber Springs, AR… |
| O20250707002242 | AR | Part A Provider - Rural Health Clinic | 0648177949 | Practice locations: Beebe, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1376336883. Details of each certification follow.
Rural health clinic certification: CCN 048561
- Legal name
- BAPTIST HEALTH
- Doing business as
- BAPTIST HEALTH FAMILY CLINIC - BEEBE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Oct 8, 2025
- Last certification
- Oct 8, 2025
- Ownership / control type
- 2B
- Organization structure
- Corporation
- Enrollment address
- 47 Highway 64 W
Beebe, AR 72012-9500 - Related CCNs
- 040114
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Baptist Health Medical Center-Little Rock
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
Parent provider
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Baptist Health Family Clinic - Sheridan
- Rural Health Clinic/Center
- Sheridan, AR
- NPI 1114792157
O20210504000413
-
dba Baptist Health Family Clinic - Sparkman
- Rural Health Clinic/Center
- Sparkman, AR
- NPI 1427630110
O20210504000413
-
dba Baptist Health Family Clinic - Malvern
- Rural Health Clinic/Center
- Malvern, AR
- NPI 1477201937
O20210504000413
-
dba Baptist Health - UAMS Cancer Clinic
- Multi-Specialty Clinic/Center
- Little Rock, AR
- NPI 1487363099
O20210504000413
-
dba Baptist Health Family Clinic - Russellville
- Rural Health Clinic/Center
- Russellville, AR
- NPI 1689467102
O20210504000413
-
dba Baptist Health Family Clinic - Perryville
- Rural Health Clinic/Center
- Perryville, AR
- NPI 1790578219
O20210504000413
-
dba Baptist Health Cancer Clinic - Drew County
- Medical Oncology Physician
- Monticello, AR
- NPI 1861266793
O20210504000413
-
dba BH Cancer Center - Heber Springs
- Multi-Specialty Clinic/Center
- Heber Springs, AR
- NPI 1932081221
O20210504000413
National Provider Directory
National Provider Directory- Tax ID family
- New Dimensions Inc
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Rural Health Clinic/Center
- Heber Springs, AR
- NPI 1104268689
-
dba Baptist Health Family Clinic - Sheridan
- Rural Health Clinic/Center
- Sheridan, AR
- NPI 1114792157
-
dba Baptist Health Medical Towers Pharmacy
- Community/Retail Pharmacy
- Little Rock, AR
- NPI 1124095070
-
dba Baptist Hospice
- Community Based Hospice Care Agency
- Little Rock, AR
- NPI 1164526554
-
dba Baptist Health Medical Center-Arkadelphia
- Critical Access Hospital
- Arkadelphia, AR
- NPI 1174553796
-
dba Baptist Health Rehabilitation Institute
- Rehabilitation Hospital
- Little Rock, AR
- NPI 1215967831
-
dba Baptist Medical Center-Psych
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1255377420
-
dba Baptist Health Ouachita Valley Family Clinic
- Rural Health Clinic/Center
- Camden, AR
- NPI 1366279424
-
dba Baptist Health Family Clinic - Gurdon
- Primary Care Clinic/Center
- Gurdon, AR
- NPI 1396080552
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Larry White | Corporate Director | Jul 8, 2025 | |
| Baptist Health | Operational/Managerial Control | Jul 8, 2025 | 100% |
| Ronald Dedman | Corporate Director | Jul 8, 2025 | |
| Lamarr Bailey | Corporate Director | Jul 8, 2025 | |
| Herren Hickingbotham | Corporate Director | Jul 8, 2025 | |
| Judy Simmons Henry | Corporate Director | Jul 8, 2025 | |
| Michael Akin | Corporate Director | Jul 8, 2025 | |
| Chris Brune | Corporate Director | Jul 8, 2025 | |
| Troy Wells | Corporate Officer | Jan 18, 2018 | |
| W-2 Managing Employee | Jan 18, 2018 | ||
| Operational/Managerial Control | Jan 18, 2018 | ||
| Suzanne Peyton | Corporate Director | Jul 8, 2025 | |
| John McMorran | Corporate Director | Jan 1, 2026 | |
| Lindsey Lorence | Corporate Director | Jul 8, 2025 | |
| Steven Booth | Corporate Director | Jul 8, 2025 | |
| David Mitchell | Corporate Director | Jul 8, 2025 | |
| James S Jones | Corporate Director | Jul 8, 2025 | |
| Louis M Lee | Corporate Director | Jan 1, 2026 | |
| Teresa Howell | Corporate Director | Jul 8, 2025 | |
| Brent Beaulieu | Corporate Officer | Jan 18, 2018 | |
| W-2 Managing Employee | Jan 18, 2018 | ||
| Operational/Managerial Control | Jan 18, 2018 | ||
| Glenn Millner | Corporate Director | Jul 8, 2025 | |
| Les Warren | Corporate Director | Jul 8, 2025 |
All facility ownership & control disclosures 50
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Baptist Health Medical Center - Arkadelphia | Hospital | Operational/Managerial Control | Jan 1, 1990 |
| Baptist Health Medical Center Arkadelphia | Hospital | Operational/Managerial Control | Jan 1, 1990 |
| Baptist Health Medical Center - Heber Springs | Hospital | Operational/Managerial Control | Jan 1, 1990 |
| Baptist Health Medical Center Heber Springs | Hospital | Operational/Managerial Control | Jan 1, 1980 |
| Baptist Health Medical Center North Little Rock | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Baptist Health Medical Center North Little Rock | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Baptist Health Rehabilitation Institute | Hospital | Operational/Managerial Control | Apr 1, 1967 |
| Baptist Health Medical Center Little Rock | Hospital | Operational/Managerial Control | Feb 1, 1974 |
| Baptist Health Medical Center Little Rock | Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Baptist Health Extended Care Hospital - Little Rock, Inc. | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2008 |
| Baptist Health Medical Center - Hot Spring County | Hospital | Operational/Managerial Control | Jan 1, 2014 |
| Baptist Health Medical Center-Conway | Hospital | Operational/Managerial Control (100%) | Dec 26, 2012 |
| Baptist Health - Fort Smith | Hospital | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health - Fort Smith | Hospital | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health - Van Buren | Hospital | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health Medical Center - Hot Spring County | Hospital | Operational/Managerial Control | Jan 1, 2014 |
| Baptist Health Medical Center - Conway | Hospital | Operational/Managerial Control (100%) | Dec 26, 2012 |
| Baptist Health Medical Center - Drew County | Hospital | Operational/Managerial Control (100%) | Dec 3, 2023 |
| Baptist Health Medical Center - Drew County | Hospital | Operational/Managerial Control (100%) | Dec 3, 2023 |
| Baptist Health Medical Center - Drew County | Hospital | Operational/Managerial Control (100%) | Dec 3, 2023 |
| Baptist Health Medical Center - Stuttgart | Hospital | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Medical Center - Stuttgart | Hospital | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Home Health - Heber Springs | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2008 |
| Baptist Health Home Health - Arkadelphia | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Oct 26, 2010 Oct 26, 2010 |
| Baptist Health Home Health-Little Rock | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2016 |
| Baptist Health Home Health Network - Drew County | Home health agency | Operational/Managerial Control | Dec 3, 2023 |
| Baptist Health Hospice - Little Rock | Hospice | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1990 Jan 1, 1990 |
| Baptist Health Hospice | Hospice | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Oct 26, 2010 Oct 26, 2010 |
| Baptist Health Family Clinic - Greers Ferry | Rural health clinic | Operational/Managerial Control | Dec 15, 1992 |
| Baptist Health - Family Clinic Brinkley | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Family Clinic Clarendon | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Stuttgart Medical Clinic | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Family Clinic Dewitt | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Family Clinic Hazen | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Family Clinic - Gurdon | Rural health clinic | Operational/Managerial Control | Apr 4, 2011 |
| Baptist Health Family Clinic - Heber Springs | Rural health clinic | Operational/Managerial Control | Sep 1, 2013 |
| Baptist Health Stuttgart Campus Clinic | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Family Clinic - Caddo Valley | Rural health clinic | Operational/Managerial Control | Jul 7, 2014 |
| Baptist Health Family Clinic - Bismarck | Rural health clinic | Operational/Managerial Control | Jul 7, 2014 |
| Baptist Health Family Clinic - Prescott | Rural health clinic | Operational/Managerial Control | Oct 1, 2014 |
| Baptist Health Heber Springs Campus Clinic | Rural health clinic | Operational/Managerial Control | Oct 1, 2014 |
| BH Arkadelphia Medical Clinic | Rural health clinic | Operational/Managerial Control (100%) | Sep 1, 2020 |
| Baptist Health Family Clinic - Sparkman | Rural health clinic | Operational/Managerial Control | Apr 1, 2021 |
| Baptist Health Family Clinic - Malvern | Rural health clinic | Operational/Managerial Control (100%) | May 1, 2022 |
| Baptist Health Family Clinic - Alma | Rural health clinic | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health Family Clinic - Sheridan | Rural health clinic | Operational/Managerial Control (100%) | Mar 15, 2024 |
| Baptist Health Ouachita Valley Family Clinic | Rural health clinic | Operational/Managerial Control (100%) | Nov 1, 2024 |
| Baptist Health Family Clinic - Lonoke | Rural health clinic | Operational/Managerial Control (100%) | May 1, 2025 |
| Baptist Health Family Clinic - Perryville | Rural health clinic | Operational/Managerial Control | Jul 1, 2025 |
| Baptist Health Family Clinic - Russellville | Rural health clinic | Operational/Managerial Control | Jul 15, 2025 |
Facilities with the same owner 50
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Baptist Health Family Clinic Greers Ferry
- Rural Health Clinic/Center
- Greers Ferry, AR
- NPI 1003821703
Baptist Health
-
dba Baptist Home Health Network
- Home Health Agency
- Heber Springs, AR
- NPI 1033213632
Baptist Health
-
dba Baptist Health Medical Center-Little Rock
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
Baptist Health
-
dba Baptist Health Family Clinic - Sheridan
- Rural Health Clinic/Center
- Sheridan, AR
- NPI 1114792157
Baptist Health
-
dba Baptist Home Health Network
- Home Health Agency
- Little Rock, AR
- NPI 1134225451
Baptist Health
-
dba Baptist Hospice
- Community Based Hospice Care Agency
- Little Rock, AR
- NPI 1164526554
Baptist Health
-
dba Baptist Health Medical Center-Arkadelphia
- Critical Access Hospital
- Arkadelphia, AR
- NPI 1174553796
Baptist Health
-
dba Baptist Health Rehabilitation Institute
- Rehabilitation Hospital
- Little Rock, AR
- NPI 1215967831
Baptist Health
-
dba Baptist Medical Center-Psych
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1255377420
Baptist Health
-
dba Baptist Health Ouachita Valley Family Clinic
- Rural Health Clinic/Center
- Camden, AR
- NPI 1366279424
Baptist Health
-
dba Baptist Health Family Clinic - Sparkman
- Rural Health Clinic/Center
- Sparkman, AR
- NPI 1427630110
Baptist Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748304000000",
"number": "1376336883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 HIGHWAY 64 W",
"city": "BEEBE",
"state": "AR",
"postal_code": "720129500",
"telephone_number": "501-882-3388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Health Family Clinic - Beebe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beebe, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.