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Baxter County Regional Hospital, Inc

Organization Active NPI Family Medicine Physician · Mammoth Spring, AR

NPI 1396508677 · NPPES record last updated Jan 31, 2024

Key facts

NPI
1396508677
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL, INC
Practice address
350 Main St Ste 4
Mammoth Spring, AR 72554-7425
Phone
(870) 625-3111
NPI assigned
Jan 31, 2024
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
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

350 Main St Ste 4
Mammoth Spring, AR 72554-7425

Mailing address

350 Main St Ste 4
Mammoth Spring, AR 72554-7425
Phone (870) 625-3111

Other names

  • BAXTER HEALTH FAMILY CLINIC AT MAMMOTH SPRING Doing business as

Other providers in Mammoth Spring, AR

All providers in Mammoth Spring, AR · Family Medicine Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.