Active NPI
Baptist Health
- Rural Health Clinic/Center
- Russellville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- BAPTIST HEALTH
- Practice address
- 1605 W Main St Ste 2719
Russellville, AR 72801-2719 - Phone
- (479) 219-5008
- NPI assigned
- 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 | Primary |
Addresses
Primary practice location
1605 W Main St Ste 2719
Russellville, AR 72801-2719
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Other names 1
- Baptist Health Family Clinic - Russellville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
Rural health clinic certification: CCN 048560
- Legal name
- BAPTIST HEALTH
- Doing business as
- BAPTIST HEALTH FAMILY CLINIC - RUSSELLVILLE
- Organization structure
- Corporation
- 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.
National Provider Directory
National Provider Directory- Tax ID family
- Baptist Health Fam Clinic
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
- Prescott, AR
- NPI 1518356112
-
- Rural Health Clinic/Center
- Caddo Valley, AR
- NPI 1528478955
-
- Orthopaedic Surgery Physician
- Magnolia, AR
- NPI 1568395309
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1578593067
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1598021412
-
- Medicare Defined Swing Bed Hospital Unit
- Monticello, AR
- NPI 1598546723
-
- Medicare Defined Swing Bed Hospital Unit
- El Dorado, AR
- NPI 1598613812
-
- Infusion Therapy Clinic/Center
- Little Rock, AR
- NPI 1609320563
-
- Medicare Defined Swing Bed Hospital Unit
- Heber Springs, AR
- NPI 1609811827
-
- Medicare Defined Swing Bed Hospital Unit
- Malvern, AR
- NPI 1649724261
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Little Rock, AR
- NPI 1659971505
-
- Home Health Agency
- Magnolia, AR
- NPI 1740117373
Locations
1605 W Main St
Ste A
Russellville, AR 72801
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 15, 2025 | |
| Baptist Health | Operational/Managerial Control | Jul 15, 2025 | |
| Ronald Dedman | Corporate Director | Jul 15, 2025 | |
| Lamarr Bailey | Corporate Director | Jul 15, 2025 | |
| Herren Hickingbotham | Corporate Director | Jul 15, 2025 | |
| Judy Simmons Henry | Corporate Director | Jul 15, 2025 | |
| Michael Akin | Corporate Director | Jul 15, 2025 | |
| Chris Brune | Corporate Director | Jul 15, 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 15, 2025 | |
| John McMorran | Corporate Director | Jan 1, 2026 | |
| Lindsey Lorence | Corporate Director | Jul 15, 2025 | |
| Steven Booth | Corporate Director | Jul 15, 2025 | |
| David Mitchell | Corporate Director | Jul 15, 2025 | |
| James S Jones | Corporate Director | Jul 15, 2025 | |
| Louis M Lee | Corporate Director | Jan 1, 2026 | |
| Teresa Howell | Corporate Director | Jul 15, 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 15, 2025 | |
| Les Warren | Corporate Director | Jul 15, 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 - Beebe | Rural health clinic | Operational/Managerial Control (100%) | Jul 8, 2025 |
Facilities with the same owner 50
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Russellville, AR
- NPI 1457525909
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": "1756857600000",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-27",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"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"
}
]
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.