NPIMap

Organization Active NPI

Baxter County Regional Hospital Inc

  • Specialist
  • Harrison, AR
National Provider Identifier
1588329056
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL INC
Practice address
1420 Highway 62 65 N Ste 2
Harrison, AR 72601-1959
Phone
(870) 508-1000
NPI assigned
Nov 1, 2021
Organization subpart
Yes
Parent organization
BAXTER COUNTY REGIONAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1420 Highway 62 65 N Ste 2
Harrison, AR 72601-1959

Mailing address

1420 Highway 62 65 N Ste 2
Harrison, AR 72601-1959

Other practice location 1

114 E Crandall Ave Ste C
Harrison, AR 72601-3628
Phone (870) 916-2693

Other names 1

  • Baxter Health Cardiology Clinic at Harrison Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address benjamin.stevens@bhcawp.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220104001227 AR Part B Supplier - Clinic/Group Practice 0042389264 Receives reassigned benefits from 2 practitioners
Practice locations: Harrison, AR; Marshall, AR

Other NPIs with the same Medicare PAC ID 11

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

National Provider Directory

National Provider Directory
Tax ID family
Baxter Co Reg Hospital Inc16 organizations share this tax ID, including this one
Part of
Baxter Co Reg Hospital Inc

Other organizations with this tax ID 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1588329056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 HIGHWAY 62 65 N STE 2",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 HIGHWAY 62 65 N STE 2",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011959",
            "telephone_number": "870-508-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 E Crandall Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726013628",
            "country_code": "US",
            "telephone_number": "870-916-2693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAXTER COUNTY REGIONAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAXTER COUNTY REGIONAL HOSPITAL INC",
        "enumeration_date": "2021-11-01",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "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": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benjamin.stevens@bhcawp.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1420 Highway 62 65 N Ste 2",
            "city": "Harrison",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726011959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Baxter Health Cardiology Clinic at Harrison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.