NPIMap

Organization Active NPI

Baxter County Regional Hospital

Doing business as BRMC Horseshoe Bend Clinic

  • Family Medicine Physician
  • Horseshoe Bend, AR
National Provider Identifier
1700968567
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AR3827 Issued in AR
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL
Doing business as
BRMC Horseshoe Bend Clinic
Practice address
707 Third St
Horseshoe Bend, AR 72512-3732
Phone
(870) 670-5800
NPI assigned
Oct 20, 2006
Last updated
Sep 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X AR3827 AR Primary

Addresses

Primary practice location

707 Third St
Horseshoe Bend, AR 72512-3732

Mailing address

707 Third St
Horseshoe Bend, AR 72512-3732
Phone (870) 670-5800

Other names 1

  • BRMC Horseshoe Bend Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baxter County Reg Hosp Inc44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1700968567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 THIRD ST",
            "city": "HORSESHOE BEND",
            "state": "AR",
            "postal_code": "725123732",
            "telephone_number": "870-670-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 THIRD ST",
            "city": "HORSESHOE BEND",
            "state": "AR",
            "postal_code": "725123732",
            "telephone_number": "870-670-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER COUNTY REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-09-06",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "AR3827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRMC Horseshoe Bend Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Horseshoe Bend, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.