Baptist Health

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

BAPTIST HEALTH

Doing business as

Baptist Health Family Clinic - Russellville

Practice address

1605 W Main St Ste 2719
Russellville, AR 72801-2719

Phone

(479) 219-5008

Fax

(479) 219-5025

NPI assigned

May 27, 2025

Last updated

Nov 3, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Baptist Health Family Clinic - Russellville Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689467102. Details of each certification follow.

• CCN 048560 Rural health clinic · Details

Rural health clinic certification: CCN 048560

Legal name

BAPTIST HEALTH

Doing business as

BAPTIST HEALTH FAMILY CLINIC - RUSSELLVILLE

Organization structure

CorporationNon-profit

Enrollment address

1605 W Main St
Ste 2719
Russellville, AR 72801-2719

Other NPIs on the same Medicare enrollment 8

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

• Baptist Health

  dba Baptist Health Family Clinic - Sheridan

  • Rural Health Clinic/Center
  • Sheridan, AR
  • NPI 1114792157

  O20210504000413

  Same enrollment
• Baptist Health

  dba Baptist Health Family Clinic - Beebe

  • Rural Health Clinic/Center
  • Beebe, AR
  • NPI 1376336883

  O20210504000413

  Same enrollment
• Baptist Health

  dba Baptist Health Family Clinic - Sparkman

  • Rural Health Clinic/Center
  • Sparkman, AR
  • NPI 1427630110

  O20210504000413

  Same enrollment
• Baptist Health

  dba Baptist Health Family Clinic - Malvern

  • Rural Health Clinic/Center
  • Malvern, AR
  • NPI 1477201937

  O20210504000413

  Same enrollment
• Baptist Health

  dba Baptist Health - UAMS Cancer Clinic

  • Multi-Specialty Clinic/Center
  • Little Rock, AR
  • NPI 1487363099

  O20210504000413

  Same enrollment
• Baptist Health

  dba Baptist Health Family Clinic - Perryville

  • Rural Health Clinic/Center
  • Perryville, AR
  • NPI 1790578219

  O20210504000413

  Same enrollment
• Baptist Health

  dba Baptist Health Cancer Clinic - Drew County

  • Medical Oncology Physician
  • Monticello, AR
  • NPI 1861266793

  O20210504000413

  Same enrollment
• Baptist Health

  dba BH Cancer Center - Heber Springs

  • Multi-Specialty Clinic/Center
  • Heber Springs, AR
  • NPI 1932081221

  O20210504000413

  Same enrollment

Tax ID family

Greers Ferry Rural Heal59 organizations share this tax ID, including this one

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.

• Baptist Health

  dba Baptist Health Family Clinic - Prescott

  • Rural Health Clinic/Center
  • Prescott, AR
  • NPI 1518356112
  NPD tax ID
• Baptist Health

  dba Baptist Health Family Clinic - Caddo Valley

  • Rural Health Clinic/Center
  • Caddo Valley, AR
  • NPI 1528478955
  NPD tax ID
• Baptist Health

  dba Baptist Health Specialty Clinic - Magnolia

  • Orthopaedic Surgery Physician
  • Magnolia, AR
  • NPI 1568395309
  NPD tax ID
• Baptist Health

  dba BMC Physician Clinic

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1578593067
  NPD tax ID
• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1598021412
  NPD tax ID
• Baptist Health

  dba Baptist Health Medical Center - Drew Memorial

  • Medicare Defined Swing Bed Hospital Unit
  • Monticello, AR
  • NPI 1598546723
  NPD tax ID
• Baptist Health

  dba Baptist Health Medical Center - El Dorado

  • Medicare Defined Swing Bed Hospital Unit
  • El Dorado, AR
  • NPI 1598613812
  NPD tax ID
• Baptist Health

  dba Baptist Health Medical Towers Pharmacy & Infusion Services

  • Infusion Therapy Clinic/Center
  • Little Rock, AR
  • NPI 1609320563
  NPD tax ID
• Baptist Health

  dba Baptist Health Medical Center - Heber Springs Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Heber Springs, AR
  • NPI 1609811827
  NPD tax ID
• Baptist Health

  dba Baptist Health Medical Center - Hot Spring County

  • Medicare Defined Swing Bed Hospital Unit
  • Malvern, AR
  • NPI 1649724261
  NPD tax ID
• Baptist Health

  dba Baptist Health Supportive Care At Home

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Little Rock, AR
  • NPI 1659971505
  NPD tax ID
• Baptist Health

  dba Baptist Health Home Health Network - Magnolia

  • Home Health Agency
  • Magnolia, AR
  • NPI 1740117373
  NPD tax ID

Locations

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.

All facility ownership & control disclosures 50

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

Facilities with the same owner 50

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Baptist Health

  dba Baptist Health Family Clinic Greers Ferry

  • Rural Health Clinic/Center
  • Greers Ferry, AR
  • NPI 1003821703

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Home Health Network

  • Home Health Agency
  • Heber Springs, AR
  • NPI 1033213632

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Medical Center-Little Rock

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682

  Baptist Health

  CMS ownership
• Baptist Health

  • Rural Health Clinic/Center
  • Heber Springs, AR
  • NPI 1104268689

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Family Clinic - Sheridan

  • Rural Health Clinic/Center
  • Sheridan, AR
  • NPI 1114792157

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Home Health Network

  • Home Health Agency
  • Little Rock, AR
  • NPI 1134225451

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Hospice

  • Community Based Hospice Care Agency
  • Little Rock, AR
  • NPI 1164526554

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Medical Center-Arkadelphia

  • Critical Access Hospital
  • Arkadelphia, AR
  • NPI 1174553796

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Rehabilitation Institute

  • Rehabilitation Hospital
  • Little Rock, AR
  • NPI 1215967831

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Medical Center-Psych

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1255377420

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Ouachita Valley Family Clinic

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1366279424

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Family Clinic - Beebe

  • Rural Health Clinic/Center
  • Beebe, AR
  • NPI 1376336883

  Baptist Health

  CMS ownership

Practitioners 1

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.

• Tammy Danielle Lusk

  • Family Nurse Practitioner
  • Russellville, AR
  • NPI 1457525909
  NPD

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793664000000",
    "number": "1689467102",
    "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",
            "telephone_number": "479-219-5008",
            "fax_number": "479-219-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 W MAIN ST STE 2719",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012719",
            "telephone_number": "479-219-5008",
            "fax_number": "479-219-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Family Clinic - Russellville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Health Family Clinic - Russellville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Lynn Baker, MS OTR/L
• Laken Nicolle Baldwin, DPT
• Forrest Garnett Bale, DDS
• Angela Balentine
• Linda Jo Bankston, LCSW, LADAC, AADC
• Leigh Merritt Barborek, DPT
• Amy Ruth Barley, OTRL
• Megan Elizabeth Barnes, LAC
• Dayem Barrera Garcia
• Barron Family Practice Clinic

• Rural Health Clinic/Center in Russellville, AR
• Providers in Russellville, AR by specialty
• Rural Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; 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.

Verify at the official NPI Registry.