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Baxter County Regional Hospital, Inc

Organization Active NPI Diagnostic Radiology Physician · Harrison, AR

NPI 1477375970 · NPPES record last updated Apr 29, 2025

Key facts

NPI
1477375970
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL, INC
Practice address
100 Ste C Town Center Dr
Harrison, AR 72601-3038
Phone
(870) 741-6040
Fax
(870) 741-6012
NPI assigned
Oct 28, 2024
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 7

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

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 39

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

View all 39

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 64

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baxter Health
Mountain Home, AR · CCN 040027		 Hospital Operational/Managerial Control Nov 1, 1966
Baxter Health Family Clinic at Calico Rock
Calico Rock, AR · CCN 048559		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2025
Baxter Health Family Clinic
Mountain Home, AR · CCN 048558		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2025
Baxter Health Family Clinic at Melbourne
Melbourne, AR · CCN 048555		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2025
Baxter Health Family Clinic at Mountain View
Mountain View, AR · CCN 048556		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2025
Baxter Health Market Street Family Clinic
Mountain Home, AR · CCN 048557		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250529000482 AR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3274420971 Practice locations: Harrison, AR

National Provider Directory

Tax ID family
BCRH ER Prof Fees (40 organizations share this tax ID)

Locations

100 Town Center Dr
#C
Harrison, AR 72601
Phone (870) 741-6040

100C Town Center Dr
Harrison, AR 72601

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0202X Yes

Addresses

Primary practice location

100 Ste C Town Center Dr
Harrison, AR 72601-3038

Mailing address

PO Box 954106
Saint Louis, MO 63195-4106
Phone (870) 508-1078

Other names

  • Baxter Health Imaging at Harrison Doing business as

Other providers in Harrison, AR

All providers in Harrison, AR · Diagnostic Radiology Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.