NPIMap

Organization Active NPI

Baxter Regional Enterprises, LLC

Doing business as Baxter Health Cardiology Clinic at Harrison

  • Clinic/Center
  • Harrison, AR
National Provider Identifier
1689556839
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BAXTER REGIONAL ENTERPRISES, LLC
Doing business as
Baxter Health Cardiology Clinic at Harrison
Practice address
114 E Crandall Ave Ste D
Harrison, AR 72601-3628
Phone
(870) 741-6065
Fax
(870) 741-6066
NPI assigned
Jul 21, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

114 E Crandall Ave Ste D
Harrison, AR 72601-3628

Mailing address

PO Box 707
Mountain Home, AR 72654-0707
Phone (870) 424-7070

Other names 1

  • Baxter Health Cardiology Clinic at Harrison Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220121001564 AR Part B Supplier - Clinic/Group Practice 3476945528 Receives reassigned benefits from 18 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salem, AR; Mountain View, AR; Mountain Home, AR; Harrison, AR; Ash Flat, AR

Other NPIs on the same Medicare enrollment 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2298323Baxter Health Cardiology Clinic at Harrison114 E Crandall Ave Suite D, Harrison, AR 72601Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory
Tax ID family
Baxter Health Cardiology Clinic at Harrison3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

628 Hospital Dr
Ste 112
Mountain Home, AR 72653
Phone (870) 425-8288

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689556839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726540707",
            "telephone_number": "870-424-7070",
            "fax_number": "870-424-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E CRANDALL AVE STE D",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013628",
            "telephone_number": "870-741-6065",
            "fax_number": "870-741-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER REGIONAL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter Health Cardiology Clinic at Harrison",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.